Provider Demographics
NPI:1740094424
Name:NICHOLAS, DEVIN TERREL
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:TERREL
Last Name:NICHOLAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 E SMILEY ST
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-4820
Mailing Address - Country:US
Mailing Address - Phone:337-466-0456
Mailing Address - Fax:
Practice Address - Street 1:226 E SMILEY ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-4820
Practice Address - Country:US
Practice Address - Phone:337-466-0456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health