| Nichole Seguin, LMHC | |
|
2452 State Route 9 Ste 206, Malta, NY 12020-4448 | |
| (518) 242-6980 | |
| Not Available |
| Full Name | Nichole Seguin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2452 State Route 9 Ste 206, Malta, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881131050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P04454 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | 010090-01 (New York) | Primary |
| Entity Name | Parsons Child And Family Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922171305 PECOS PAC ID: 9931403656 Enrollment ID: O20160201001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Nichole Seguin, LMHC 2452 State Route 9 Ste 206, Malta, NY 12020-4448 Ph: (518) 242-6980 | Nichole Seguin, LMHC 2452 State Route 9 Ste 206, Malta, NY 12020-4448 Ph: (518) 242-6980 |
John Durden, MSW Counselor Medicare: Medicare Enrolled Practice Location: 2452 Route 9, Suite 206, Malta, NY 12020 Phone: 518-292-5433 Fax: 518-899-4930 | |
Ms. Carly Rose Ward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2452 Route 9, Suite 206, Malta, NY 12020 Phone: 518-410-1896 | |
Ms. Dawn M Howk, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 5 Hemphill Place, Suite 121, Malta, NY 12020 Phone: 518-289-5072 Fax: 518-289-5225 | |
Brittany Glenn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2452 Route 9, Suite 206, Malta, NY 12020 Phone: 518-704-5803 | |
Roland Graves Jr., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2691 State Route 9 Ste 204, Malta, NY 12020 Phone: 518-309-2192 | |
Mrs. Erin Gorman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Saratoga Village Blvd Ste 26, Malta, NY 12020 Phone: 518-859-0985 | |
Nicole Edwards, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 Route 9, Malta, NY 12020 Phone: 518-250-6377 |