Healthcare Provider Details

I. General information

NPI: 1407564933
Provider Name (Legal Business Name): NICHOLE HOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 KLOTZ RD
BOWLING GREEN OH
43402-4820
US

IV. Provider business mailing address

1045 KLOTZ RD
BOWLING GREEN OH
43402-4820
US

V. Phone/Fax

Practice location:
  • Phone: 419-352-7588
  • Fax:
Mailing address:
  • Phone: 419-352-7588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2507197-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: