Organization
AMBERLY NICHOLS, LCSW, LLC
Active
Other names
Amberly Nichols, LCSW, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMBERLY NICHOLS (OWNER/THERAPIST)
(574) 215-8313
Entity
Organization
Contact information
Practice address
311 W HIGH ST, ELKHART, IN 46516-2827
(574) 262-3597
Mailing address
3127 NORTHVIEW DR, ELKHART, IN 46514-6748
(574) 215-8313
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030941
—
IN
Enumeration date
02/19/2021
Last updated
07/08/2025
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