Provider Demographics
NPI:1508667551
Name:NICHOLS, CHERYL (LMFT ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:NICHOLS
Suffix:
Gender:
Credentials:LMFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 CLAYTON XING
Mailing Address - Street 2:
Mailing Address - City:SPRINGTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:76082-2503
Mailing Address - Country:US
Mailing Address - Phone:817-991-4561
Mailing Address - Fax:
Practice Address - Street 1:1801 SOUTHEAST PKWY
Practice Address - Street 2:
Practice Address - City:AZLE
Practice Address - State:TX
Practice Address - Zip Code:76020-4130
Practice Address - Country:US
Practice Address - Phone:817-991-4561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205585106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist