Debora Sue Nichols in Ardmore - Counselor
Debora Sue Nichols - NPI 1205881372
Debora Sue Nichols is a Counselor in Ardmore, Alabama. Debora Sue Nichols practices all healthcare services and medical treatments related to Counselor. The NPI Number for Debora Sue Nichols is 1205881372. The last update date is 2007-07-08.
Debora Sue Nichols's current location address is 29319 Lakeview Drive, Ardmore, Alabama. You can contact this provider via phone number 2565850222 and fax number 2564237177. The mailing address for Debora Sue Nichols is 29319 Lakeview Drive, Ardmore, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debora Sue Nichols |
|---|---|
| Address | 29319 Lakeview Drive, Ardmore, Alabama |
| Phone Number | 2565850222 |
| Fax Number | 2564237177 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1205881372 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 29319 Lakeview Drive |
|---|---|
| City | Ardmore |
| State | Alabama (AL) |
| Post Code | 35739 |
| Phone Number | 2565850222 |
| Fax Number | 2564237177 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 1551 |
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Definition: 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 supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51524370 | AL | BCBS |
Post Comment/ Review Below
What is the Debora Sue Nichols's 1205881372?
The Debora Sue Nichols's NPI (National Provider Identifier) Number is 1205881372. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Debora Sue Nichols located?
The Debora Sue Nichols is located at 29319 Lakeview Drive, Ardmore, AL 35739.
What is Debora Sue Nichols's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Debora Sue Nichols is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.
On what date did the Debora Sue Nichols receive its 1205881372 assignment from the Centers for Medicare & Medicaid Services?
The Debora Sue Nichols was assigned its 1205881372 by the Centers for Medicare & Medicaid Services on 2006-05-24.
As of what date was the information pertaining to Debora Sue Nichols, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Debora Sue Nichols, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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