Healthcare Provider Details

I. General information

NPI: 1801473897
Provider Name (Legal Business Name): ASHLAND NICHOLE WHEAT LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 09/11/2025
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S MAIN ST
CLINTON IN
47842-2407
US

IV. Provider business mailing address

476 E 7TH ST
CLINTON IN
47842-7069
US

V. Phone/Fax

Practice location:
  • Phone: 812-201-6299
  • Fax: 317-659-7855
Mailing address:
  • Phone: 812-201-6299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3500198A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: