Provider Demographics
NPI:1831802800
Name:NIMMERS, NIA (LMFT)
Entity type:Individual
Prefix:
First Name:NIA
Middle Name:
Last Name:NIMMERS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 STACY RD APT 9213
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2528
Mailing Address - Country:US
Mailing Address - Phone:323-360-8394
Mailing Address - Fax:
Practice Address - Street 1:8700 STACY RD APT 9213
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2528
Practice Address - Country:US
Practice Address - Phone:323-360-8394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203907106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist