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Nicole Outlaw, LAC
NPI 1700597234 · Mental Health Counselor · Glendale, AZ
Nicole Outlaw, LAC is a Mental Health Counselor provider in Glendale, AZ (NPI 1700597234).
Provider details
- NPI number
- 1700597234
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- License
- LAC-21448 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17505 N 79th Ave Ste 311g
Glendale, AZ 85308-8730
Phone: (623) 876-2029
Street-level locationGet directions
Mailing address
6117 N 12th St Unit 7
Phoenix, AZ 85014-1718
Registry dates
- Enumerated
- 2022-12-06
- Last updated
- 2022-12-06
- Certified
- 2022-12-06
Frequently asked questions
- What is Nicole Outlaw's NPI number?
- Nicole Outlaw's National Provider Identifier (NPI) is 1700597234, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Outlaw's specialty?
- Nicole Outlaw is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Nicole Outlaw located?
- Nicole Outlaw's practice location on file with NPPES is 17505 N 79th Ave Ste 311g, Glendale, AZ 85308-8730.
- What is Nicole Outlaw's phone number?
- The practice phone number listed in the NPPES registry for Nicole Outlaw is (623) 876-2029.
- Is Nicole Outlaw's NPI active?
- Yes — Nicole Outlaw's NPI (1700597234) is active in the NPPES registry as of the last update on 2022-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.