| NPI | 1649863754 |
|---|---|
| Doing Business As | AMBERLY NICHOLS, LCSW, LLC |
| Entity Type | Organization |
| Authorized Contact | AMBERLY NICHOLS Owner/Therapist 574-215-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |