Provider Demographics
NPI:1578352852
Name:HOLDEN, NICOLE MICHELLE (LGPC)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:MICHELLE
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 W CHESAPEAKE AVE STE 507
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4892
Mailing Address - Country:US
Mailing Address - Phone:410-246-0911
Mailing Address - Fax:443-901-3979
Practice Address - Street 1:40 W CHESAPEAKE AVE STE 507
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4892
Practice Address - Country:US
Practice Address - Phone:410-246-0911
Practice Address - Fax:443-901-3979
Is Sole Proprietor?:No
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP16156101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional