Provider Demographics
NPI:1912368465
Name:TRIER, NICOLE (LMHCA)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:TRIER
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 DIPLOMAT DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:COLUMBIA CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46725-1330
Mailing Address - Country:US
Mailing Address - Phone:260-244-0264
Mailing Address - Fax:
Practice Address - Street 1:155 DIPLOMAT DR
Practice Address - Street 2:SUITE C
Practice Address - City:COLUMBIA CITY
Practice Address - State:IN
Practice Address - Zip Code:46725-1330
Practice Address - Country:US
Practice Address - Phone:260-244-0264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-11
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88000168A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health