Nicole Brighton, MA, TLMFT

Individual provider Active NPI Marriage & Family Therapist · Cedar Rapids, IA

NPI 1124419197 · NPPES record last updated Feb 12, 2015

Key facts

NPI
1124419197
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
075213 (IA)
Practice address
3100 E Ave NW
Cedar Rapids, IA 52405-2962
Phone
(800) 531-4236
Fax
(319) 483-6661
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
075213IAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 075213 IA Yes

Addresses

Primary practice location

3100 E Ave NW
Cedar Rapids, IA 52405-2962

Mailing address

628 Knoll St SE
Cedar Rapids, IA 52403-3138
Phone (319) 360-6191

Other names

  • Miss Nicole Stovie Former name

Other providers in Cedar Rapids, IA

All providers in Cedar Rapids, IA · Marriage & Family Therapist in Iowa

Sources for this page

Verify at the official NPI Registry.