Provider Demographics
NPI:1780844712
Name:BARTLETT, NICOLE MARTIN (LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:MARTIN
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 EVANS RD
Mailing Address - Street 2:SUITE 311
Mailing Address - City:ELMWOOD
Mailing Address - State:LA
Mailing Address - Zip Code:70123-5230
Mailing Address - Country:US
Mailing Address - Phone:504-733-4031
Mailing Address - Fax:504-733-4033
Practice Address - Street 1:201 EVANS RD
Practice Address - Street 2:SUITE 311
Practice Address - City:ELMWOOD
Practice Address - State:LA
Practice Address - Zip Code:70123-5230
Practice Address - Country:US
Practice Address - Phone:504-733-4031
Practice Address - Fax:504-733-4033
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC #2470, LMFT #523101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional