Healthcare Provider Details

I. General information

NPI: 1487776068
Provider Name (Legal Business Name): NICOLE RENEE TRAINER PH.D, MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 JEFFERSON ST
LATROBE PA
15650-1915
US

IV. Provider business mailing address

517 MCFARLAND RD
LATROBE PA
15650-4127
US

V. Phone/Fax

Practice location:
  • Phone: 724-961-9999
  • Fax:
Mailing address:
  • Phone: 724-961-9999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC004334
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: