Provider Demographics
NPI:1487776068
Name:O'BARTO, NICOLE RENEE (LPC)
Entity type:Individual
Prefix:MISS
First Name:NICOLE
Middle Name:RENEE
Last Name:O'BARTO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6928 SPRING VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:EXPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15632-2643
Mailing Address - Country:US
Mailing Address - Phone:724-309-6665
Mailing Address - Fax:
Practice Address - Street 1:6928 SPRING VALLEY LN
Practice Address - Street 2:
Practice Address - City:EXPORT
Practice Address - State:PA
Practice Address - Zip Code:15632-2643
Practice Address - Country:US
Practice Address - Phone:724-309-6665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004334101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional