MR. TIMOTHY I NICHOLSON PLPC
NPI 1629419437
Counselor - Professional in Saint Louis, MO
- Individual
- Male
- Counselor
- Professional
About TIMOTHY NICHOLSON
This page provides the complete NPI Profile along with additional information for Timothy Nicholson, a provider established in Saint Louis, Missouri with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1629419437 assigned on July 2013. The practitioner's primary taxonomy code is 101YP2500X with license number 2012006798 (MO). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1629419437 Verify this NPI
- Provider Name
- MR. TIMOTHY I NICHOLSON PLPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1323 SULLIVAN AVE SAINT LOUIS, MO 63107
- Location Phone
- (314) 265-7014
- Mailing Address
- 1323 SULLIVAN AVE SAINT LOUIS, MO 63107
- Mailing Phone
- (314) 265-7014
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-09-2013
- Last Update Date
- 07-09-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2012006798
- License State
- MO
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
SAINT LOUIS, MO 63107
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629419437, enumerated as an "individual" on July 09, 2013.
The provider is located at 1323 SULLIVAN AVE SAINT LOUIS, MO 63107 and the phone number is (314) 265-7014.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
