Provider Demographics
NPI:1275128647
Name:NASH, MADELINE S (LPC)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:S
Last Name:NASH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:S
Other - Last Name:HERRMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 924
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-0924
Mailing Address - Country:US
Mailing Address - Phone:660-988-9669
Mailing Address - Fax:660-280-2965
Practice Address - Street 1:705 E LAHARPE ST STE C
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-4526
Practice Address - Country:US
Practice Address - Phone:660-988-9669
Practice Address - Fax:660-280-2965
Is Sole Proprietor?:No
Enumeration Date:2021-03-07
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional