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

Imogen Kieran Nicholas

Individual provider Mental Health Counselor · NPI 1851219398

Imogen Kieran Nicholas is a Mental Health Counselor in Clinton, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2026

Practice location Address checks out

604 Highway 80 W Ste R
Clinton, MS 39056-4108
Phone: (601) 473-2106
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (MS)

Record details

NPI number1851219398
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2026
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address7 Treeway Dr, Brandon, MS 39042-2301

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