MEDICARE: NICOLE CRAMER LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	27726	FL

General Provider Information

NPI Number	:	1114856101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE CRAMER LMHC

Provider Business Mailing Address
First Line	:	2350 MINTON RD STE 103
Second Line	:
City	:	WEST MELBOURNE
State	:	FL
Zip	:	32904-6603
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2350 MINTON RD STE 103
Second Line	:
City	:	WEST MELBOURNE
State	:	FL
Zip	:	32904-6603
Country	:	US
Telephone Number	:	321-294-3770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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