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General NPI Number Information
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NPI Number | 1679376016
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Entity Type | Organization
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Legal Business Name | NIKKI SORRELL THERAPY, PLLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 55 MAIN ST STE 3
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City | ESSEX JCT
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State | VT
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Zip | 05452-6100
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Country | US
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Telephone | 802-380-0662
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 235
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City | ESSEX JCT
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State | VT
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Zip | 05453-0235
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | NICOLE SORRELL
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Credential | MA PSYCHOLOGIST
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Telephone | 802-380-0662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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