Provider Demographics
NPI:1750253993
Name:ARSENEAU-NICKLIN, GENEVIEVE (RMHCI)
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:ARSENEAU-NICKLIN
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16043 SILVER BROOK WAY STE 730
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-8541
Mailing Address - Country:US
Mailing Address - Phone:321-332-6984
Mailing Address - Fax:
Practice Address - Street 1:5401 S KIRKMAN RD STE 730
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7911
Practice Address - Country:US
Practice Address - Phone:321-332-6984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27683101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health