| Amberly Nichols, Lcsw, Llc | |
|
3127 Northview Dr Elkhart IN 46514-6748 | |
| (574) 215-8313 | |
| Not Available |
| Full Name | Amberly Nichols, Lcsw, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3127 Northview Dr, Elkhart, Indiana |
| Authorized Official Name and Position | Amberly Nichols (OWNER/THERAPIST) |
| Authorized Official Contact | 5742158313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amberly Nichols, Lcsw, Llc 3127 Northview Dr Elkhart IN 46514-6748 Ph: (574) 215-8313 | Amberly Nichols, Lcsw, Llc 3127 Northview Dr Elkhart IN 46514-6748 Ph: (574) 215-8313 |
| NPI Number | 1649863754 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 02/19/2021 |
| Certification Date | 02/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649863754 | NPI | - | NPPES |
| 300030941 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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