Provider Demographics
NPI:1346779089
Name:ULLINSKEY, NICOLE (LPCC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:ULLINSKEY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4055 LEAVITT DR NW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44485-1102
Mailing Address - Country:US
Mailing Address - Phone:330-219-8061
Mailing Address - Fax:
Practice Address - Street 1:1714 BOARDMAN POLAND RD STE 5
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44514-1957
Practice Address - Country:US
Practice Address - Phone:330-970-6038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-07
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health