Provider / Organization | NPI | Date Certified |
---|---|---|
SHANNON NICHOLS | 1881320828 | 2022-07-30 |
Shannon Nichols is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881320828. Registration indicates Shannon Nichols is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Shannon Nichols RMHCI, RMFT |
Practice Office Address | 11315 CORPORATE BLVD STE 105 ORLANDO, FL US |
Practice Office Telephone | 4075340186 |
Mailing Address | 1610 CRESCENT RD LONGWOOD, FL 327504503 US |
Business Telephone | 3213561478 |
Code | Practice | License No State |
---|---|---|
101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | IMH22695
FL |