Grace E. Nichols, MED, LPC
Grace E. Nichols, MED, LPC is a Mental Health Counselor in Beaumont, Texas. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 21
- Licensed in
- TX
- In the registry since
- 2012
What do these letters mean?
Practice location Address checks out
3560 Delaware St Ste 104Beaumont, TX 77706-3067
Phone: (409) 899-4600
Fax: (409) 899-4606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 63291 (TX) |
|---|
Record details
| NPI number | 1265706543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MED , LPC |
| Sole proprietor | Yes |
| NPI enumerated | March 3, 2012 |
| Last updated in NPPES | March 3, 2012 |
| Mailing address | 3560 Delaware St, Suite 104, Beaumont, TX 77706-3067 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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