Provider Demographics
NPI:1659191096
Name:BARBER, NICOLE RAE (LPC, NCC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:RAE
Last Name:BARBER
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5434 SUNSET VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-4625
Mailing Address - Country:US
Mailing Address - Phone:724-963-6987
Mailing Address - Fax:
Practice Address - Street 1:470 STREETS RUN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2023
Practice Address - Country:US
Practice Address - Phone:412-881-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC017718101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health