Provider Demographics
NPI:1487947198
Name:FRENCH, NICOLE MARIE (LMHC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:MARIE
Last Name:FRENCH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:MARIE
Other - Last Name:SMIGIELSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:1204 NW 69TH TER STE F
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-3139
Mailing Address - Country:US
Mailing Address - Phone:352-281-0034
Mailing Address - Fax:352-505-5045
Practice Address - Street 1:4703 NW 53RD AVE STE A2
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32653-3403
Practice Address - Country:US
Practice Address - Phone:352-332-6131
Practice Address - Fax:352-332-6263
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12613101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health