Organization
NICOLE WARDELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WARDELL LPC (OWNER)
(864) 901-4600
Entity
Organization
Contact information
Practice address
3 CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 901-4600
Mailing address
63 E CASTLE DR, GREENVILLE, SC 29605-3204
(864) 901-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1454
—
SC
Enumeration date
03/14/2019
Last updated
03/14/2019
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