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NPI Code Detail

MEDICARE: NICOLE LEMOINE

MEDICARE:   NICOLE  LEMOINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1073843256
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE LEMOINE
Provider Business Mailing Address
First Line : 2 WATERSIDE XING STE 401
Second Line :
City : WINDSOR
State : CT
Zip : 06095-1588
Country : US
Telephone Number : 860-697-3351
Fax Number : 860-731-5536
Provider Business Practice Location Address
First Line : 77 HARTLAND ST
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06108-6201
Country : US
Telephone Number : 860-731-5522
Fax Number : 860-731-5536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2010
Last Update Date : 06/16/2025

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Directions to “ NICOLE LEMOINE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.