Nicola C. Aguilera, LPC

Individual provider Active NPI Professional Counselor · Winston Salem, NC

NPI 1447569207 · NPPES record last updated May 8, 2017

Key facts

NPI
1447569207
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
7993 (NC)
Practice address
725 Highland Ave
Suite 100
Winston Salem, NC 27101-4180
Phone
(336) 607-8523
Fax
(336) 773-0915
NPI assigned
Sep 28, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7993NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Daymark Recovery Servcies Inc Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7993 NC Yes

Addresses

Primary practice location

725 Highland Ave
Suite 100
Winston Salem, NC 27101-4180

Mailing address

284 Executive Park Dr
Suite100
Concord, NC 28025-1894
Phone (704) 939-1100

Other providers in Winston Salem, NC

All providers in Winston Salem, NC · Professional Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.