Individual
NICOLE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1401 MALVERN AVE STE 272, HOT SPRINGS, AR 71901-6371
(870) 796-0623
Mailing address
325 W OLIVE ST, PRESCOTT, AR 71857-3134
(870) 796-0623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2106004
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700233558
—
AR
Enumeration date
05/23/2016
Last updated
04/04/2024
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