Williams-Myers, Nicole Josephine

Williams-Myers, Nicole Josephine is an individual health care provider with primary practice located at 2831 Saint Rose Pkwy Ste 200 , Henderson NV 89052-4841. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Williams-Myers, Nicole Josephine can be contacted via phone (702) 589-4822.

Contact Information

Primary practice address
2831 Saint Rose Pkwy Ste 200 Henderson NV 89052-4841
Phone: (702) 589-4822
Fax: (702) 589-4823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0572 Nevada
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY0572 Nevada

Profile Details

NPI number 1710124193
LBN Legal business name Williams-Myers, Nicole Josephine
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2009
Last updated Feb 20th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710124193 NPPES
Nevada Other CB227Z MEDICARE PTAN
Nevada Other DZ414A MEDICARE PTAN

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