Provider Demographics
NPI:1538247598
Name:NICHOLS, WILLIAM EDWARD (LCSW LCDC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:NICHOLS
Suffix:
Gender:M
Credentials:LCSW LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2750 W VIRGINIA PARKWAY
Mailing Address - Street 2:108
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071
Mailing Address - Country:US
Mailing Address - Phone:972-542-8144
Mailing Address - Fax:972-548-9891
Practice Address - Street 1:2750 W VIRGINIA PARKWAY
Practice Address - Street 2:108
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071
Practice Address - Country:US
Practice Address - Phone:972-542-8144
Practice Address - Fax:972-548-9891
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2359101YA0400X
TXS346261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)