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LILLY NICHOLS
NPI 1063371771
Counselor - Mental Health in Waterford, MI

Active since January 19, 2026
279 SUMMIT DR, WATERFORD, MI 48328(800) 615-0411 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lilly Nichols NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLY NICHOLS (NPI 1063371771) is an individual mental health provider in Waterford, Michigan and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1063371771
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLILLY NICHOLS
Location Address279 SUMMIT DRWaterford, MI 48328-3364
Mailing Address540 Thompson St # 4122Ann Arbor, MI 48104-2414
Phone(800) 615-0411
Sole ProprietorNo
Enumeration DateJanuary 19, 2026
NPPES CertifiedJanuary 19, 2026
✔ NPI 1063371771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
279 SUMMIT DR, Waterford, MI 48328
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY NETWORK SERVICES
Exclusive Provider Organization
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
ANITA MCCANN RN
Registered Nurse (Case Management)
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
DOSYNG YOON MD
Psychiatry & Neurology (Psychiatry)
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 922-9077
MRS. COURTNEY ELIZABETH PALADINO
Social Worker (Clinical)
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 409-4165
DEUNDRA DENISE FULLER CPSS
Peer Specialist
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 409-4139
ALYSHIA MAGEE BS, MED
Case Manager/Care Coordinator
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
BARBARA ANN HAYWOOD LLBSW
Social Worker
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
MARK ANTHONY MITCHELL MSW
Social Worker
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lilly Nichols's NPI number?

The NPI number for Lilly Nichols is 1063371771. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Where is Lilly Nichols located?

Lilly Nichols practices at 279 Summit Dr, Waterford, MI 48328. The listed phone number is (800) 615-0411.

What is Lilly Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lilly Nichols was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.