Provider Demographics
NPI:1679874044
Name:SCHREIBER, NICOLE (MS, LLMFT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:MS, LLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11206 NW 43RD CT
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-7201
Mailing Address - Country:US
Mailing Address - Phone:561-214-1470
Mailing Address - Fax:
Practice Address - Street 1:1881 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33071-8915
Practice Address - Country:US
Practice Address - Phone:954-340-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006454106H00000X
FLMT3277106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist