Nicole Bilbo
Individual provider Active NPI Mental Health Counselor · Vicksburg, MS
NPI 1154504348 · NPPES record last updated Dec 11, 2007
Key facts
- NPI
- 1154504348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 3444 Wisconsin Ave
Vicksburg, MS 39180-5331 - Phone
- (601) 638-0031
- Fax
- (601) 638-4950
- NPI assigned
- Dec 11, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Mailing address
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Phone (601) 638-0031
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All providers in Vicksburg, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.