Individual provider · Type 1 NPI
Nicole Danielle Tavera
Mental Health Counselor · Jeffersontown, KY
NPI number
1659285955
Active
Practice location
9204 Taylorsville Rd Ste 215
Jeffersontown, KY 40299-1789
Mailing address
324 E Main St Unit 306
Louisville, KY 40202-1288
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 311602 (KY) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Jeffersontown
About NPI 1659285955
Nicole Danielle Tavera's National Provider Identifier is 1659285955, issued on Oct 1, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jeffersontown, KY. The record was last updated on Oct 1, 2026.