| Nicole Sykes Mullen, LCMHC | |
|
642 Highway 274, Vale, NC 28168-7435 | |
| (704) 276-2479 | |
| (704) 276-3378 |
| Full Name | Nicole Sykes Mullen |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 642 Highway 274, Vale, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790051217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9183 (North Carolina) | Primary |
| Entity Name | Gaston Family Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Sykes Mullen, LCMHC 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1936 | Nicole Sykes Mullen, LCMHC 642 Highway 274, Vale, NC 28168-7435 Ph: (704) 276-2479 |
Mr. Granville Williams Angell, EDS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7894 Falling Brook Ln, Vale, NC 28168 Phone: 704-276-1117 | |
Wanda Renee Brackett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7207 Reeps Grove Church Rd, Vale, NC 28168 Phone: 828-430-0036 | |
Jolie Fabrizio, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4875 Reepsville Rd, Vale, NC 28168 Phone: 704-276-1493 |