Provider Demographics
NPI:1275943565
Name:DUNCAN, NOLA FREEMAN
Entity type:Individual
Prefix:
First Name:NOLA
Middle Name:FREEMAN
Last Name:DUNCAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2811 BAYTREE LN
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-3611
Mailing Address - Country:US
Mailing Address - Phone:228-238-0937
Mailing Address - Fax:
Practice Address - Street 1:2139 MARYLAND CIR STE 1200
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-1001
Practice Address - Country:US
Practice Address - Phone:850-644-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14685101YM0800X
FLIMH12547101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health