Whalio Doctors

NPI 1013526318

Nicole Costello, MSPSYCRADCMOUDCS

Practitioner Community/Behavioral Health Agency Joplin, MO

Practice location

Address
2919 E 4th St Corporate Home Base Assignment, Joplin, MO 64801-1625
Phone
(417) 782-7966
Fax
(417) 624-4558
Mailing address
2919 E 4th St, Joplin, MO 64801-1625

Registered specialties (6)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 14770 (MO)
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X Licence 93-6002307 (OR)
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence 1922 (MO)
Methadone Clinic
Ambulatory Health Care Facilities Taxonomy 261QM2800X Licence 14770 (MO)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 14770 (MO)
Health Information Technician
Technologists, Technicians & Other Technical Service Providers Taxonomy 247000000X

Registry record

NPI
1013526318
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Jul 2020
Record last updated
7 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.