Healthcare Provider Details

I. General information

NPI: 1316870868
Provider Name (Legal Business Name): NICOLE BRIGANTE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1255 PERKIOMEN AVE
READING PA
19602-1337
US

IV. Provider business mailing address

4611 BURNSIDE DR
TOBYHANNA PA
18466-3081
US

V. Phone/Fax

Practice location:
  • Phone: 610-396-9091
  • Fax: 610-396-9092
Mailing address:
  • Phone: 484-500-4898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020284
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: