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NPI Code Detail

MEDICARE: MRS. NICOLE R GRELLER LMHC

MEDICARE:  MRS. NICOLE R GRELLER  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
1101YM0800XMental Health Counselor39000683AIN

General Provider Information

NPI Number : 1477743946
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLE R GRELLER LMHC
Provider Business Mailing Address
First Line : 4487 DIAMOND RDG
Second Line :
City : GREENWOOD
State : IN
Zip : 46143-7473
Country : US
Telephone Number : 317-250-1812
Fax Number :
Provider Business Practice Location Address
First Line : 3209 W SMITH VALLEY RD STE 203
Second Line :
City : GREENWOOD
State : IN
Zip : 46142-8510
Country : US
Telephone Number : 317-250-1812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2007
Last Update Date : 05/06/2024

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Directions to “ MRS. NICOLE R GRELLER LMHC” Practice Location

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