DEBORA SUE NICHOLS (NPI# 1205881372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205881372 |
| Entity Type | Individual |
| Full Name | DEBORA SUE NICHOLS |
| Other Name | DEBORA HILL NICHOLS |
| Credential | LPC |
| Practice Address |
26670 5th Street First Baptist Church Ardmore AL 35739 |
| Mailing Address |
29319 Lakeview Drive Ardmore AL 35739 |
| Practice Telephone | 2565850222 |
| Practice Fax Number | 2564237177 |
| Mailing Telephone | 2565850222 |
| Mailing Fax Number | 2564237177 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1551 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51524370 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497847842 | Debora Anita Nichols | Pharmacist | 2400 Hospital Road, Tuskegee, AL 36083 | 2006-09-29 |
| Street Address |
26670 5TH STREET FIRST BAPTIST CHURCH |
| City | ARDMORE |
| State | AL |
| Zip Code | 35739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586615 | Rebecca Elaine Rice | Technician | 26348 Old School House Road, Ardmore, AL 35739 | 2019-09-09 |
| 1174766018 | Payless Pharmacy | Durable Medical Equipment & Medical Supplies | 29930 Ardmore Avenue, Ardmore, AL 35739 | 2009-04-08 |
| 1154454197 | Jeffrey Ray Besherse | Chiropractor | 29825 Ardmore Ave, Ardmore, AL 35739 | 2007-03-13 |
| 1609131432 | Ardmore Chiropractic Inc. | Chiropractor | 29825 Ardmore Ave, Ardmore, AL 35739 | 2012-07-09 |
| 1013086438 | J & M Pharmacy Inc | Pharmacy | 30508 Ardmore Avenue, Ardmore, AL 35739-7443 | 2006-11-07 |
| 1316956550 | William Edward Holt Jr. | Pharmacist | 30508 Ardmore Ave, Ardmore, AL 35739-7443 | 2006-08-05 |
| 1417500885 | Joseph William Harris | Pharmacist | 30508 Ardmore Ave, Ardmore, AL 35739-7443 | 2019-07-24 |
| 1417000258 | Annie Hogan Allen | Pharmacist | 30508 Ardmore Ave, Ardmore, AL 35739-7443 | 2007-01-18 |
| 1881762755 | Nick W Holland | Pharmacist | 30508 Ardmore Ave, Ardmore, AL 35739-7443 | 2006-12-01 |
| 1821164401 | J & M Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 30508 Ardmore Avenue, Ardmore, AL 35739-7443 | 2006-11-27 |
| Find all providers in zip 35739 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942862669 | Maureen Sandra Boyle Cieri | Counselor | 133 Coulter Ave Ste 1, Ardmore, PA 19003-2416 | 2019-07-02 |
| 1720544836 | Oklahoma Families First Inc | Counselor | 333 W Main St Ste 230, Ardmore, OK 73401-6320 | 2019-02-13 |
| 1124534565 | Tracie Owen | Counselor | 333 W Main St Ste 210, Ardmore, OK 73401-6320 | 2017-12-21 |
| 1841651759 | Inna Cubara | Counselor | 213 Church Rd, Ardmore, PA 19003-3301 | 2016-03-19 |
| 1477910669 | Shelley Clements | Counselor | 336 Beaumont Dr., Ardmore, OK 73401-9112 | 2016-01-20 |
| 1811386238 | Morgan Mcgee | Counselor | 723 Davis St Nw, Ardmore, OK 73401-1515 | 2015-01-22 |
| 1720496417 | Roberta Morriss | Counselor | 1207 Hailey St Sw, Ardmore, OK 73401-5315 | 2014-07-26 |
| 1316358815 | Sherry Leamy | Counselor | 1150 W Broadway, 401, Ardmore, OK 73401 | 2014-05-19 |
| 1336561190 | Mary Lynn Wood | Counselor | 4011 Rolling Hills Dr, Ardmore, OK 73401-9313 | 2014-01-14 |
| 1588096564 | Stephanie Carey | Counselor | 621 M St Sw, Ardmore, OK 73401-3261 | 2013-08-01 |
| Find all providers in ARDMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.