NICOLE LEONA SALLEE MS, LPC NPI 1003447236

Counselor (Professional) in Fort Worth, TX

Individual Female Counselor Professional

About NICOLE SALLEE

Nicole Sallee is a provider established in Fort Worth, Texas and her medical specialization is counselor. The NPI number of Nicole Sallee is 1003447236 and was assigned on January 2020. The practitioner's primary taxonomy code is 101YP2500X with license number 79681 (TX). The provider is registered as an individual and her NPI record was last updated January 2020.

NPI

1003447236

Provider Name NICOLE LEONA SALLEE MS, LPC
Provider Location Address201 MAIN ST FL 6 FORT WORTH, TX 76102
Provider Mailing Address3716 MULBERRY LN BEDFORD, TX 76021
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-27-2020
Last Update Date01-27-2020

Primary Taxonomy

Taxonomy Code101YP2500X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationProfessional
License No.79681
License StateTX

Business Address

NICOLE LEONA SALLEE MS, LPC
201 MAIN ST FL 6
FORT WORTH, TX
ZIP 76102
Phone: (817) 339-1100

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Mailing Address

NICOLE LEONA SALLEE MS, LPC
3716 MULBERRY LN
BEDFORD, TX
ZIP 76021
Phone: (682) 239-9872

Secondary Locations

2300 William D Tate Ave
Grapevine, TX 76051
(817) 424-9010

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.