| Stephanie Nickel Lpc, Llc | |
|
248 Cottonwood St Unit B Delta CO 81416-4401 | |
| (303) 249-6225 | |
| Not Available |
| Full Name | Stephanie Nickel Lpc, Llc |
|---|---|
| Speciality | Counselor |
| Location | 248 Cottonwood St Unit B, Delta, Colorado |
| Authorized Official Name and Position | Stephanie Nickel (OWNER/COUNSELOR) |
| Authorized Official Contact | 9702700527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Nickel Lpc, Llc 248 Cottonwood St Unit B Delta CO 81416-4401 Ph: (303) 249-6225 | Stephanie Nickel Lpc, Llc 248 Cottonwood St Unit B Delta CO 81416-4401 Ph: (303) 249-6225 |
| NPI Number | 1972384246 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Medicare PECOS PAC ID | 4082061932 |
|---|---|
| Medicare Enrollment ID | O20231114002491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972384246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Stephanie Lynn Nickel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497242820 PECOS PAC ID: 0547617490 Enrollment ID: I20231228003357 |
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