Provider Demographics
NPI:1023255692
Name:CALHOUN, NICOLE LEANN (MA, PCC)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:LEANN
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:MA, PCC
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:LEANN
Other - Last Name:SMATHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, PC
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-257-3760
Mailing Address - Fax:614-257-3750
Practice Address - Street 1:181 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1779
Practice Address - Country:US
Practice Address - Phone:614-257-3760
Practice Address - Fax:614-257-3750
Is Sole Proprietor?:No
Enumeration Date:2009-01-19
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.0701135101YP2500X
OHE.0701135101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional