Provider Demographics
NPI:1992331268
Name:STRIMEL, NICOLE (MED, LPC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:STRIMEL
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2332 W CHARLESTON ST APT 1F
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-3242
Mailing Address - Country:US
Mailing Address - Phone:847-721-0849
Mailing Address - Fax:
Practice Address - Street 1:2332 W CHARLESTON ST APT 1F
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-3242
Practice Address - Country:US
Practice Address - Phone:847-721-0849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178015469101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional