CAROL SUE NICHOLS MA
NPI 1386459634
Counselor - Mental Health in Booneville, MS
Active since February 12, 2025
About Carol Sue Nichols Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL SUE NICHOLS MA (NPI 1386459634) is an individual mental health provider in Booneville, Mississippi and active in the NPI registry since February 2025.
NPPES Registry Identity
NPI1386459634
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAROL SUE NICHOLSCredential: MA
Location Address603 E CHURCH STBooneville, MS 38829-3711
Mailing Address860 E River Pl Ste 100Jackson, MS 39202-3442
Phone(662) 728-2488
Sole ProprietorNo
Enumeration DateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1386459634 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
603 E CHURCH ST, Booneville, MS 38829
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386459634, enumerated as an "individual" on February 12, 2025.
The provider is located at 603 E CHURCH ST BOONEVILLE, MS 38829 and the phone number is (662) 728-2488.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
