Provider Demographics
NPI:1396230694
Name:NICHOLS, LULA BELL (PLPC)
Entity Type:Individual
Prefix:MS
First Name:LULA
Middle Name:BELL
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 OLIVET CT
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-2056
Mailing Address - Country:US
Mailing Address - Phone:601-924-3343
Mailing Address - Fax:
Practice Address - Street 1:940 MCDOWELL ROAD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39204-5331
Practice Address - Country:US
Practice Address - Phone:601-985-3047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health