Search › Indiana › 1041C0700X
Nicole Gauthier, LCSW
NPI 1790546653 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1815 E Ireland Rd
South Bend, IN 46614 - Phone
- (574) 647-1700
- Fax
- (574) 647-7572
- Organisation at this address
- Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 45
Additional practice sites
- 2709 Twixwood Ln, South Bend, IN
- 615 N Michigan St, South Bend, IN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana