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NPI Profile for NICOLE COSTELLO in JOPLIN, MO.
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community/Behavioral Health |
251S00000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Adult Mental Health |
261QM0850X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Methadone |
261QM2800X | |||
Technician, Health Information |
247000000X |
| NPI # | 1013526318 |
|
| Status | Active | |
| Credentials | MS.PSY,CRADC,MOUD,CS | |
| Entity | Individual | |
| Enumeration date | 07/23/2020 | |
| Last updated | 01/07/2026 - About 5 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NICOLE COSTELLO, MS.PSY,CRADC,MOUD,CS