Provider Demographics
NPI:1043199391
Name:NICHOLS, HAYLEY LUANN (LPC-A)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:LUANN
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BALCONES DR APT 40
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-5178
Mailing Address - Country:US
Mailing Address - Phone:979-218-6579
Mailing Address - Fax:
Practice Address - Street 1:511 UNIVERSITY DR E STE 113
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77840-5902
Practice Address - Country:US
Practice Address - Phone:281-882-3706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98929103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling