Provider Demographics
NPI:1336895788
Name:NICHOLS, DANIEL SETH (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:SETH
Last Name:NICHOLS
Suffix:
Gender:M
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8240 MID CITIES BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-4711
Mailing Address - Country:US
Mailing Address - Phone:682-376-4390
Mailing Address - Fax:
Practice Address - Street 1:8240 MID CITIES BLVD
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-4711
Practice Address - Country:US
Practice Address - Phone:682-376-4390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88137101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor