| Lcnichols, Llc | |
|
2025 Shady Crest Dr Hoover AL 35216-5417 | |
| (205) 515-7784 | |
| Not Available |
| Full Name | Lcnichols, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2025 Shady Crest Dr, Hoover, Alabama |
| Authorized Official Name and Position | Lucy Caroline Nichols (OWNER) |
| Authorized Official Contact | 2055157784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lcnichols, Llc 1021 Bienville Ct Birmingham AL 35213-2011 Ph: (205) 515-7784 | Lcnichols, Llc 2025 Shady Crest Dr Hoover AL 35216-5417 Ph: (205) 515-7784 |
| NPI Number | 1649948514 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 09/03/2021 |
| Certification Date | 09/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649948514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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