Organization
HAL NICHOLS ASSOCIATES LLC
Active
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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