Healthcare Provider Details

I. General information

NPI: 1598250045
Provider Name (Legal Business Name): NICHOLE ANGIERI SCHOOL COUNSELING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 06/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 HAMPTON AVE
SAINT LOUIS MO
63139-2379
US

IV. Provider business mailing address

8633 MAYFLOWER CT
SAINT LOUIS MO
63132-3802
US

V. Phone/Fax

Practice location:
  • Phone: 131-453-1115
  • Fax:
Mailing address:
  • Phone: 314-397-4821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberO0917867-0225
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: