Provider Demographics
NPI:1093150807
Name:NICHOLS, MICHAEL CHRISTOPHER (LPCMH)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:CHRISTOPHER
Last Name:NICHOLS
Suffix:
Gender:M
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 JENNA REA RD
Mailing Address - Street 2:
Mailing Address - City:HUBERT
Mailing Address - State:NC
Mailing Address - Zip Code:28539-4609
Mailing Address - Country:US
Mailing Address - Phone:302-423-5263
Mailing Address - Fax:
Practice Address - Street 1:630 W DIVISION ST
Practice Address - Street 2:SUITE D
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-2760
Practice Address - Country:US
Practice Address - Phone:302-672-7159
Practice Address - Fax:302-672-7178
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16788101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health