Edie Nicholson, PCMHT - Ellisville, MS

Edie Nicholson, PCMHT

Counselor in Ellisville, Mississippi

NPI 1295507879

Edie Nicholson is a Counselor based in Hattiesburg, MS. Edie Nicholson practices in Ellisville, MS and has the professional credentials of PCMHT. The NPI Number for Edie Nicholson is 1295507879 and holds a License No. 6059 (Mississippi).

The current practice location address for Edie Nicholson is 5192 Highway 11 N, Ellisville, MS and can be reached out via phone at 601-649-7921.

Location: 5192 Highway 11 N, Ellisville, MS, 39404-8679

NPI Number

1295507879

Provider Name

Edie Nicholson

Credential

PCMHT

Provider Entity Type

Individual

Gender

Female

Address

5192 Highway 11 N, Ellisville, MS, 39404-8679

Phone Number

601-649-7921

Fax Number

Provider Enumeration Date

10/26/2023

Last Update Date

03/10/2024

Address

5192 Highway 11 N

City

Ellisville

State

Mississippi

Zip

39437-5050

Phone Number

601-649-7921

Fax Number

Address

5192 Highway 11 N

City

Ellisville

State

Mississippi

Zip

39437-5050

Phone Number

601-649-7921

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

6059 (Mississippi)

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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