Provider Demographics
NPI:1780242271
Name:STANCIL, NIK J (LCMHC)
Entity type:Individual
Prefix:
First Name:NIK
Middle Name:J
Last Name:STANCIL
Suffix:
Gender:X
Credentials:LCMHC
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:MILLIKAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:NC
Mailing Address - Zip Code:28635-0092
Mailing Address - Country:US
Mailing Address - Phone:616-916-3802
Mailing Address - Fax:
Practice Address - Street 1:895 STATE FARM RD STE 507-5
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4917
Practice Address - Country:US
Practice Address - Phone:828-278-8218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health