Carrie A Nickles in Fayetteville - Mental Health
Carrie A Nickles - NPI 1083879167
Carrie A Nickles is a Mental Health in Fayetteville, Arkansas. Carrie A Nickles practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Carrie A Nickles is 1083879167. The last update date is 2019-04-01.
Carrie A Nickles's current location address is 3960 W Owl Creek Pl, Fayetteville, Arkansas. You can contact this provider via phone number 3039059025 and fax number 4793581493. The mailing address for Carrie A Nickles is 3960 W Owl Creek Pl, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carrie A Nickles |
|---|---|
| Address | 3960 W Owl Creek Pl, Fayetteville, Arkansas |
| Phone Number | 3039059025 |
| Fax Number | 4793581493 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1083879167 |
|---|---|
| Provider Enumeration Date | 2008-07-28 |
| Last Updated Date | 2019-04-01 |
Provider Mailing Address Detail
| Address | 3960 W Owl Creek Pl |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727046237 |
| Phone Number | 3039059025 |
| Fax Number | 4793581493 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | P1108056 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 227848719 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carrie A Nickles by the Centers for Medicare & Medicaid Services (CMS)?
The Carrie A Nickles has been assigned the NPI (National Provider Identifier) 1083879167. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Carrie A Nickles is geographically located?
The Carrie A Nickles is physically situated at the following location: 3960 W Owl Creek Pl, Fayetteville, AR, 727046237.
What is Carrie A Nickles's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carrie A Nickles is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did Carrie A Nickles receive its 1083879167 assignment from the Centers for Medicare & Medicaid Services?
The Carrie A Nickles was assigned its 1083879167 on 2008-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Carrie A Nickles, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Carrie A Nickles, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-04-01.