National Provider Identifier

Nicole Holloway, LMHC

Nicole Holloway, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 335-7059.

NPI 1568908663Buffalo, NYMental Health Counselor

Profile Overview

NPI
1568908663
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
January 12, 2017
Last Updated
October 05, 2019

Practice Location

  • 330 Delaware Ave
  • Buffalo, NY 14202-1804

Phone: (716) 335-7059

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1568908663
Entity Type
Individual
Last Name
Holloway
First Name
Nicole
Credential
LMHC
Provider Other Last Name
Clark
Provider Other First Name
Nicole
Provider Other Last Name Type Code
1
Mailing Street Address
330 Delaware Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-1804
Mailing Country
US
Mailing Phone
(716) 335-7059
Mailing Fax
(716) 842-0668
Practice Street Address
330 Delaware Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1804
Practice Country
US
Practice Phone
(716) 335-7059
Practice Fax
(716) 842-0668
Enumeration Date
January 12, 2017
Last Updated
October 05, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)