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

Lilly Nichols

Individual provider Mental Health Counselor · NPI 1063371771

Lilly Nichols is a Mental Health Counselor in Waterford, Michigan. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

279 Summit Dr
Waterford, MI 48328-3364
Phone: (800) 615-0411
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1063371771
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 19, 2026
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address540 Thompson St # 4122, Ann Arbor, MI 48104-2414

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