Individual
CYNDI NICHOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
MI
171W00000X
Contractor
—
MI
172V00000X
Community Health Worker
Primary
—
MI
251B00000X
Case Management Agency
—
MI
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
MI
251X00000X
Supports Brokerage Agency
—
MI
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376866160
—
MI
Enumeration date
01/13/2015
Last updated
01/13/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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