NICOLE LEE MACCALLUM


Address: 4934 Atlantic Rd, Port Arthur, TX 77642-0165
Phone: 4099266732

NICOLE LEE MACCALLUM (NPI# 1730521808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730521808
Entity Type Individual
Full Name NICOLE LEE MACCALLUM
Other Name NICOLE LEE CLARK
Credential LPC
Practice Address 4934 Atlantic Rd
Port Arthur
TX 77642-0165
Mailing Address Po Box 1728
Groves
TX 77619-1728
Practice Telephone 4099266732
Enumeration Date 2013-07-18
Last Update Date 2013-07-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
68625 TX Behavioral Health & Social Service Providers

Office Location

Street Address 4934 ATLANTIC RD
City PORT ARTHUR
State TX
Zip Code 77642-0165

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1164038253 Residential Senior Care (rsc) Assisted Living Facility 8040 Honeywood Trial, Port Arthur, TX 77642 2020-09-23
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1538533906 Carolyn Williams Nurse Practitioner 8333 9th Ave Ste A, Port Arthur, TX 77642 2015-11-22
1003295312 Peacock Heavenly Massage Massage Therapist 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 2015-05-20
1346651718 Bunrith Koy Family Medicine 3620 East Farm To Market Road 365, Port Arthur, TX 77642 2014-05-19
1679896534 Jared Clark Mallory Physical Therapist 3398 25th Street, Port Arthur, TX 77642 2010-03-08
1750564902 Isam N. Anabtawi Family Medicine 1750 9th Ave., Suite 202, Port Arthur, TX 77642 2007-12-11
1710179445 Marian Tan Medical Group Ltd LLP Pediatrics 3220 Central Mall Drive, Port Arthur, TX 77642 2007-08-16
1497952253 Waheeda Mithani Surgery 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 2007-06-27
1295939015 Pamela Spencer Albacete Speech-Language Pathologist 7200 9th Ave., Port Arthur, TX 77642 2007-06-14
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003386988 Brandon Michael Roberts Counselor 2920 Lake Arthur Dr, Port Arthur, TX 77642-6656 2018-12-04
1407912165 Rosaicela Escobedo Counselor 7980 Anchor Dr Ste 500, Port Arthur, TX 77642-8285 2006-12-28
1972619880 Susan Webster Jones Counselor 7980 Anchor Drive, Building 500, Port Arthur, TX 77642-8285 2006-08-22
1558477463 Tracy Lane Williams Counselor 3747 Doctor's Drive, Port Arthur, TX 77642 2006-08-22
1225083884 David W Hamel Counselor 8700 9th Ave, Suite 106, Port Arthur, TX 77642-8030 2006-05-23
1386270940 Joshua Loflin Counselor 2548 Memorial Blvd, Port Arthur, TX 77640-2825 2020-03-16
1881165322 Timothy Allen Winberg Counselor 2548 Memorial Blvd, Port Arthur, TX 77640-2825 2018-12-10
1194117325 Joy-del Tiffany Snook Counselor 7980 Anchor Dr, Building 500, Port Arthur, TX 77642-8266 2015-02-25
1871930149 Jackie Faye Bradley Counselor 7980 Anchor Dr Bldg 500, Port Arthur, TX 77642-8285 2013-05-28
1154681724 Julie A Castaneda Counselor 7980 Anchor Dr Bldg 500, Port Arthur, TX 77642-8285 2012-05-16
Find all providers in PORT ARTHUR

Competitor

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City PORT ARTHUR
Zip Code 77642

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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