BRENDA D NICHOLSON (NPI# 1265949614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265949614 |
| Entity Type | Individual |
| Full Name | BRENDA D NICHOLSON |
| Credential | LPC |
| Practice Address |
1229 E Pleasant Run Rd Ste 309 Desoto TX 75115-4209 |
| Practice Telephone | 9722285655 |
| Mailing Telephone | 9722285655 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
68362 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181901 | Brenda Joyce Nicholson | Technician | 1677 Camp Eight Rd, Richton, MS 39476-8932 | 2019-08-27 |
| 1164422655 | Brenda Pittman Nicholson | Internal Medicine | 1415 Old Weisgarber Rd, Sutie 200, Knoxville, TN 37909-1292 | 2005-07-26 |
| 1942666011 | Brenda Nicholson | Counselor | 1950 Alameda De Las Pulgas, A13, San Mateo, CA 94403-1222 | 2016-01-05 |
| 1902909179 | Brenda A. Nicholson | Physical Therapist | 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902-6401 | 2006-09-06 |
| Street Address |
1229 E PLEASANT RUN RD STE 309 |
| City | DESOTO |
| State | TX |
| Zip Code | 75115-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1407453384 | Heather Mcdowell | Massage Therapist | 100 Bob White St # 3, Desoto, TX 75115 | 2020-10-05 |
| 1295201580 | Daniel Max & Marcandrea, LLC | Optometrist | 1309 E. Pleasant Run Rd, Desoto, TX 75115 | 2018-10-15 |
| 1316432180 | Texas Home Health Group of De Soto, LLC | Home Health | 911 York Drive, Suite 203, De Soto, TX 75115 | 2018-06-25 |
| 1033606694 | Dental Health Associates of Texas, PC | Dentist | 1001 N Beckley, Desoto, TX 75115 | 2018-04-19 |
| 1023516093 | Joseph Chinaecherem Anya | Pharmacist | 805 Raintree Ln, Desoto, TX 75115 | 2018-01-25 |
| 1396253837 | Medical Care Innovation, P.C. | Clinic/Center | 2019 N Interstate 35 E, Desoto, TX 75115 | 2018-01-18 |
| 1124534888 | Herlonda Dotson | Counselor | 620 Candelila Drive, Desoto, TX 75115 | 2017-12-18 |
| 1053839548 | Floristene Johnson | Nutritionist | 1353 Armstrong Drive, Desoto, TX 75115 | 2017-09-05 |
| 1699290577 | Dlb Pharmacy LLC | Pharmacy | 1801 N Hampton, Suite 340, Desoto, TX 75115 | 2017-08-11 |
| Find all providers in zip 75115 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770071920 | Olanikki Markia Carroll | Counselor | 201 Cold Water Dr, Desoto, TX 75115-3794 | 2018-04-24 |
| 1295240232 | Grace Funmilola David | Counselor | 1636 N Hampton Rd Ste 101, Desoto, TX 75115-8600 | 2017-12-13 |
| 1881041101 | Rebecca Chesney | Counselor | 413 Ten Mile Dr, Desoto, TX 75115-3805 | 2016-05-17 |
| 1558740928 | Carrie Robinson | Counselor | 2400 Bolton Boone Dr Apt 7109, Desoto, TX 75115-2151 | 2015-05-19 |
| 1619379732 | Brandon Watkins | Counselor | 832 Magnolia Trl, Desoto, TX 75115-1501 | 2014-09-19 |
| 1972822443 | Mollie Ann Williams | Counselor | 1801 N Westmoreland Rd, Desoto, TX 75115-2269 | 2010-05-24 |
| 1366686834 | Ivory Pleasant | Counselor | 820 Sabona Dr., Desoto, TX 75115 | 2009-04-28 |
| 1265679443 | Mary Elizabeth Dabbs | Counselor | 904 Winterbury Ct, Desoto, TX 75115-8030 | 2009-01-09 |
| 1700483708 | Allena Anderson | Counselor | 1636 N Hampton Rd Ste 101, Desoto, TX 75115-8600 | 2020-10-03 |
| 1376151779 | Kimberly Caylor Delahoussaye | Counselor | 413 Ten Mile Dr, Desoto, TX 75115-3805 | 2020-07-21 |
| Find all providers in DESOTO | ||||
Please comment or provide details below to improve the information on BRENDA D NICHOLSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.