Provider Demographics
NPI:1578727541
Name:PINKLEY, NIKKI ELAINE (LPC)
Entity Type:Individual
Prefix:
First Name:NIKKI
Middle Name:ELAINE
Last Name:PINKLEY
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 1:254 PATHWAY RD
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-8772
Mailing Address - Country:US
Mailing Address - Phone:417-429-1889
Mailing Address - Fax:417-429-2359
Practice Address - Street 1:254 PATHWAY RD
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-8772
Practice Address - Country:US
Practice Address - Phone:417-429-1889
Practice Address - Fax:417-429-2359
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor