Nicole Schweon LMHC Cap NCC LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 8923 Issued in FL

Legal business name

NICOLE SCHWEON LMHC CAP NCC LLC

Practice address

1003 3Rd St N
Jacksonville Beach, FL 32250-7238

Phone

(561) 632-5567

NPI assigned

Jun 27, 2008

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Soderberg

Title

MGR

Phone

(561) 632-5567

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1518129832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50518",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322400518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 3RD ST N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507238",
            "telephone_number": "561-632-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE SCHWEON LMHC CAP NCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SODERBERG",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-632-5567"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 8923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.