Provider Demographics
NPI:1033791991
Name:CASELMAN, NICOLE (PLPC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:CASELMAN
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:GRUSPIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:330 ALAMO ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-8584
Mailing Address - Country:US
Mailing Address - Phone:337-475-0324
Mailing Address - Fax:337-475-8917
Practice Address - Street 1:330 ALAMO ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-8584
Practice Address - Country:US
Practice Address - Phone:337-475-0324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8449101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor