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AMBERLY NICHOLS LCSW LLC NPI 1649863754


NPI Information

NPI: 1649863754
Provider Name: AMBERLY NICHOLS, LCSW, LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
3127 NORTHVIEW DR
ELKHART, IN
ZIP 46514
Phone: (574) 215-8313
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AMBERLY NICHOLS, LCSW, LLC is a counselor in Elkhart, IN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. AMBERLY NICHOLS, LCSW, LLC NPI is 1649863754. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3127 NORTHVIEW DR
ELKHART, IN
ZIP 46514-748
Phone: (574) 215-8313

The provider's authorized official is Amberly Nichols .
The authorized official title is Owner/therapist and has the following contact phone number (574) 215-8313.

The enumeration date for this NPI number is 2/19/2021 and was last updated on 2/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300030941MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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