Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Douglas Psychology and Wellness, PLLC

Organization Clinical Psychologist · NPI 1245181379

Nicole Douglas Psychology and Wellness, PLLC is a Clinical Psychologist in Carbondale, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3412 S Illinois Ave
Carbondale, IL 62903-8362
Phone: (618) 506-0107
Fax: (618) 457-8844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1245181379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Douglas — Clinical Psychologist · (315) 447-5432
NPI enumeratedFebruary 5, 2026
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing address202 Excalibur Dr, Carterville, IL 62918-3602

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