Provider Demographics
NPI:1306808035
Name:TAULBEE, NICOLE MARIE (MA, LMHC, LPC)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:MARIE
Last Name:TAULBEE
Suffix:
Gender:F
Credentials:MA, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30613 REDFIELD ST
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-5083
Mailing Address - Country:US
Mailing Address - Phone:866-845-4026
Mailing Address - Fax:866-804-4240
Practice Address - Street 1:6910 N. MAIN ST. UNIT 31
Practice Address - Street 2:SUITE 12H
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530
Practice Address - Country:US
Practice Address - Phone:866-845-4026
Practice Address - Fax:866-845-4026
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401018059101YP2500X
MI6301010734103T00000X
IN39001501A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist