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

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1821138017

Nichole Lavalley is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jackson, Maine. Practices as a sole proprietor and works from 2 locations. Licensed in Maine.

Licensed in
ME
In the registry since
2007
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Practice location Address checks out

1461 Moosehead Trl
Jackson, ME 04921
Phone: (207) 907-2631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 119 Lower Detroit Rd, Plymouth, ME 04969-3213 — (207) 257-2131

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence ALLS 2297 (ME)

Record details

NPI number1821138017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 7, 2007
Last updated in NPPESOctober 30, 2019