Provider Demographics
NPI:1780242271
Name:RUTHLESS, NIK J (LCMHC)
Entity type:Individual
Prefix:
First Name:NIK
Middle Name:J
Last Name:RUTHLESS
Suffix:
Gender:X
Credentials:LCMHC
Other - Prefix:
Other - First Name:NIK
Other - Middle Name:
Other - Last Name:STANCIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1022 RIVER ST STE A
Mailing Address - Street 2:
Mailing Address - City:WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28697-2760
Mailing Address - Country:US
Mailing Address - Phone:828-278-8218
Mailing Address - Fax:
Practice Address - Street 1:1022 RIVER ST STE A
Practice Address - Street 2:
Practice Address - City:WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28697-2760
Practice Address - Country:US
Practice Address - Phone:828-278-8218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-30
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health