Provider Demographics
NPI:1720709306
Name:ARTOCIN PSYCHE' COUNSELING & CONSULTING
Entity type:Organization
Organization Name:ARTOCIN PSYCHE' COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSEN-NICOTRA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, PSYD (ABD)
Authorized Official - Phone:910-380-0885
Mailing Address - Street 1:1335 ELEMENT WAY APT 3209
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-1612
Mailing Address - Country:US
Mailing Address - Phone:856-803-0129
Mailing Address - Fax:336-234-5030
Practice Address - Street 1:1335 ELEMENT WAY APT 3209
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-1612
Practice Address - Country:US
Practice Address - Phone:856-803-0129
Practice Address - Fax:336-234-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty