Provider Demographics
NPI:1376335984
Name:NICHOLS, WILLIAM H II (LLMSW, CADC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:H
Last Name:NICHOLS
Suffix:II
Gender:M
Credentials:LLMSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:738 UNIVERSITY CT
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1727
Mailing Address - Country:US
Mailing Address - Phone:704-299-4793
Mailing Address - Fax:
Practice Address - Street 1:350 N MAIN ST STE 150
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MI
Practice Address - Zip Code:48118-1486
Practice Address - Country:US
Practice Address - Phone:734-593-5251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6851118237104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker