Provider Demographics
NPI:1699367441
Name:MONDAY, NICHOLE (LPC)
Entity Type:Individual
Prefix:
First Name:NICHOLE
Middle Name:
Last Name:MONDAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 ROUTE 228
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-3150
Mailing Address - Country:US
Mailing Address - Phone:724-787-0696
Mailing Address - Fax:724-625-2226
Practice Address - Street 1:521 ROUTE 228
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-3150
Practice Address - Country:US
Practice Address - Phone:724-787-0696
Practice Address - Fax:724-625-2226
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012822101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional