Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLE LAVALLEY
Active Sole ProprietorNICHOLE LAVALLEY is a Emotionally Disturbed Children Residential Treatment healthcare provider located in JACKSON, Maine. NPI 1821138017 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · JACKSON, ME
Registration Details
- NPI Number
- 1821138017
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2007 (19.471073492907 yrs)
- Last Updated
- Oct 30, 2019
- License
-
ALLS 2297 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1461 MOOSEHEAD TRLJACKSON, ME, 04921Browse ME providers · Browse ZIP 04921
- Phone
- 2079072631
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.