Myers, Nicole L

Myers, Nicole L is an individual health care provider with primary practice located at 1001 N Market St , Mount Carmel IL 62863-1945. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Myers, Nicole L can be contacted via phone (618) 263-4970.

Contact Information

Primary practice address
1001 N Market St Mount Carmel IL 62863-1945
Phone: (618) 263-4970
Fax: (618) 263-4837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1508174715
LBN Legal business name Myers, Nicole L
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2010
Last updated Jun 2nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508174715 NPPES
Illinois Other 1508174715 NPI

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