Basic Information
| Provider Information | |||||||||
| NPI: | 1679874044 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHREIBER | ||||||||
| FirstName: | NICOLE | ||||||||
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| Credential: | M.S., LLMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11206 NW 43RD CT | ||||||||
| Address2: | |||||||||
| City: | CORAL SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330657201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5612141470 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1881 N UNIVERSITY DR | ||||||||
| Address2: | |||||||||
| City: | POMPANO BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330718915 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543400888 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2010 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 4101006454 | MI | N | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 106H00000X | MT3277 | FL | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.