NICOLE R. FORMWALT LPC
NPI 1255675146
Counselor - Professional in Mobile, AL

Q: What is Nicole Formwalt's NPI number?

The NPI number for Nicole Formwalt is 1255675146. It was assigned to this individual provider in the NPPES registry on November 16, 2012.

Q: What is Nicole Formwalt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Formwalt was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2012

7305 COTTAGE HILL RD, MOBILE, AL 36695(251) 422-2043 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole R. Formwalt Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE R. FORMWALT LPC (NPI 1255675146) is an individual professional provider in Mobile, Alabama, licensed in Alabama (2227) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1255675146

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameNICOLE R. FORMWALTCredential: LPC

Location Address7305 COTTAGE HILL RDMobile, AL 36695-2829

Mailing Address54 Glenwood StMobile, AL 36606-1905 · (251) 476-7148

Phone(251) 422-2043

Sole ProprietorYes

Enumeration DateNovember 16, 2012

✔ NPI 1255675146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AL · 2227

7305 COTTAGE HILL RD, Mobile, AL 36695

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID FORMWALT, PSY.D., LLC

Psychologist

7305 COTTAGE HILL RD
MOBILE, AL 36695

Mobile County (251) 776-1217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Formwalt's NPI number?

The NPI number for Nicole Formwalt is 1255675146. It was assigned to this individual provider in the NPPES registry on November 16, 2012.

Where is Nicole Formwalt located?

Nicole Formwalt practices at 7305 Cottage Hill Rd, Mobile, AL 36695. The listed phone number is (251) 422-2043.

What is Nicole Formwalt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Nicole Formwalt accept?

Health plans from Blue Cross and Blue Shield of Alabama list Nicole Formwalt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Formwalt was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.