Provider Demographics
NPI:1023556800
Name:NICHOLS-ECOFFEY, DARLENE (LPC)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:NICHOLS-ECOFFEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 KANSAS CITY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-3693
Mailing Address - Country:US
Mailing Address - Phone:605-348-6086
Mailing Address - Fax:605-348-1050
Practice Address - Street 1:529 KANSAS CITY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-3693
Practice Address - Country:US
Practice Address - Phone:605-348-6086
Practice Address - Fax:605-348-1050
Is Sole Proprietor?:No
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-7416101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health