Provider Demographics
NPI:1144811191
Name:BEST, NICHOLAS (LPA-T)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:BEST
Suffix:
Gender:M
Credentials:LPA-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 NEWTON RD
Mailing Address - Street 2:
Mailing Address - City:MC KENZIE
Mailing Address - State:TN
Mailing Address - Zip Code:38201-8818
Mailing Address - Country:US
Mailing Address - Phone:731-343-2516
Mailing Address - Fax:
Practice Address - Street 1:8511 1051 N 16TH ST B
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-4207
Practice Address - Country:US
Practice Address - Phone:270-753-6622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY266643103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist