Nichols, Shelley Blancett

Nichols, Shelley Blancett is an sole proprietor health care provider with primary practice located at 1030 Andrews Hwy Ste 105-H, Midland TX 79701. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Nichols, Shelley Blancett can be contacted via phone (432) 247-1221.

Contact Information

Primary practice address
1030 Andrews Hwy Ste 105-H Midland TX 79701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 19072 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 36329 Texas

Profile Details

NPI number 1063835346
LBN Legal business name Nichols, Shelley Blancett
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2014
Last updated Jul 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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