Healthcare Provider Details

I. General information

NPI: 1720709306
Provider Name (Legal Business Name): ARTOCIN PSYCHE' COUNSELING & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022
Certification Date: 09/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 ELEMENT WAY APT 3209
WILMINGTON NC
28412-1612
US

IV. Provider business mailing address

1335 ELEMENT WAY APT 3209
WILMINGTON NC
28412-1612
US

V. Phone/Fax

Practice location:
  • Phone: 856-803-0129
  • Fax: 336-234-5030
Mailing address:
  • Phone: 856-803-0129
  • Fax: 336-234-5030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ROBYN OLSEN-NICOTRA
Title or Position: PSYCHOTHERAPIST/OWNER
Credential: LCSW, PSY.D. (ABD)
Phone: 910-380-0885