Provider Demographics
NPI:1841775079
Name:PIGGOTT, NICOLE (MA, LMHC, MHP, ATR)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:PIGGOTT
Suffix:
Gender:F
Credentials:MA, LMHC, MHP, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 N 75TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4601
Mailing Address - Country:US
Mailing Address - Phone:817-733-5335
Mailing Address - Fax:
Practice Address - Street 1:315 LINCOLN AVE STE C1
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-1573
Practice Address - Country:US
Practice Address - Phone:209-284-4151
Practice Address - Fax:206-267-0424
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-03
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60929378101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty