Provider Demographics
NPI:1154043123
Name:NICKEL, ANALECIA C (MA,LMFT)
Entity type:Individual
Prefix:
First Name:ANALECIA
Middle Name:C
Last Name:NICKEL
Suffix:
Gender:F
Credentials:MA,LMFT
Other - Prefix:
Other - First Name:ANALECIA
Other - Middle Name:
Other - Last Name:KINKADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,LMFT
Mailing Address - Street 1:1224 W PINON AVE
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-3608
Mailing Address - Country:US
Mailing Address - Phone:602-686-0682
Mailing Address - Fax:
Practice Address - Street 1:8700 E VIA DE VENTURA STE 280
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4541
Practice Address - Country:US
Practice Address - Phone:480-674-9229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-15
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT-16213106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist