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MARY NICHOLS
NPI 1396594354
Counselor - Addiction (Substance Use Disorder) in Waverly, OH

Active since May 14, 2024
12319 STATE ROUTE 104 APT B, WAVERLY, OH 45690(740) 912-6264 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mary Nichols NPPES

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

MARY NICHOLS (NPI 1396594354) is an individual addiction (substance use disorder) provider in Waverly, Ohio and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1396594354
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY NICHOLS
Location Address12319 STATE ROUTE 104 APT BWaverly, OH 45690-8605
Mailing Address12319 State Route 104 Apt BWaverly, OH 45690-8605
Phone(740) 912-6264
Sole ProprietorYes
Enumeration DateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1396594354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
12319 STATE ROUTE 104 APT B, Waverly, OH 45690
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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 Mary Nichols's NPI number?

The NPI number for Mary Nichols is 1396594354. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Mary Nichols located?

Mary Nichols practices at 12319 State Route 104 Apt B, Waverly, OH 45690. The listed phone number is (740) 912-6264.

What is Mary Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Nichols was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.