Provider Demographics
NPI:1528723657
Name:SANDERS, NICOLE MARIE ARCURI (PHD, ACS,LPCS)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:MARIE ARCURI
Last Name:SANDERS
Suffix:
Gender:F
Credentials:PHD, ACS,LPCS
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:MARIE
Other - Last Name:ARCURI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LPCS, LCMHCS,
Mailing Address - Street 1:642 CENTURY CIR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-8279
Mailing Address - Country:US
Mailing Address - Phone:910-708-0218
Mailing Address - Fax:
Practice Address - Street 1:6650 RIVERS AVE
Practice Address - Street 2:STE 100
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406
Practice Address - Country:US
Practice Address - Phone:843-310-0143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2025-02-22
Deactivation Date:2023-07-31
Deactivation Code:
Reactivation Date:2024-02-13
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
SC9003101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional