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

Demetrious Tra Nicholson

Individual provider Counselor · NPI 1558175620

Demetrious Tra Nicholson is a Counselor in Charlottesville, Virginia. Licensed in Virginia. Registered with an NPI since 2025.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

141 Ednam Dr Ste 104
Charlottesville, VA 22903-4629
Phone: (434) 202-4080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 0704017770 (VA)

Record details

NPI number1558175620
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 6, 2025
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address4927 Sheridan St, Charlottesville, VA 22902-9026

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