Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole R. Formwalt, LPC

Individual provider Professional Counselor · NPI 1255675146

Nicole R. Formwalt, LPC is a Professional Counselor in Mobile, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

7305 Cottage Hill Rd
Mobile, AL 36695-2829
Phone: (251) 422-2043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2227 (AL)

Record details

NPI number1255675146
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedNovember 16, 2012
Last updated in NPPESNovember 16, 2012

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