Organization
HAL NICHOLS ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAL NICHOLS LSCSW, LCSW, LCAC (CLINICAL DIRECTOR)
(913) 648-6940
Entity
Organization
Contact information
Practice address
11100 ASH ST., SUITE 100, LEAWOOD, KS 66211-1804
(913) 648-6940
(877) 329-8382
Mailing address
11100 ASH ST, SUITE 100, LEAWOOD, KS 66211-1925
(913) 648-6940
(877) 329-8382
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
07310947
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201128190A
—
KS
Enumeration date
03/23/2017
Last updated
03/23/2017
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