1659604718 NPI number — MRS. NIKKI GREMILLION ADUCCI M.A., TLMFT

Table of content: MRS. NIKKI GREMILLION ADUCCI M.A., TLMFT (NPI 1659604718)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659604718 NPI number — MRS. NIKKI GREMILLION ADUCCI M.A., TLMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADUCCI
Provider First Name:
NIKKI
Provider Middle Name:
GREMILLION
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., TLMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GREMILLION
Provider Other First Name:
NIKKI
Provider Other Middle Name:
LEIGH
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A., TLMFT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1659604718
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/08/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
327 SW FRAZIER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOPEKA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66606-1963
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-232-5005
Provider Business Mailing Address Fax Number:
785-232-0160

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
327 SW FRAZIER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66606-1963
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-232-5005
Provider Business Practice Location Address Fax Number:
785-232-0160
Provider Enumeration Date:
09/08/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  1077 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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