Healthcare Provider Details

I. General information

NPI: 1407470644
Provider Name (Legal Business Name): LINDSAY C NICHOLS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSAY HOWELL LPC

II. Dates (important events)

Enumeration Date: 06/03/2020
Last Update Date: 06/08/2025
Certification Date: 06/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9666 OLIVE BLVD STE 370
SAINT LOUIS MO
63132-3025
US

IV. Provider business mailing address

9666 OLIVE BLVD STE 370
SAINT LOUIS MO
63132-3025
US

V. Phone/Fax

Practice location:
  • Phone: 314-449-1060
  • Fax:
Mailing address:
  • Phone: 314-499-1060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2020010234
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: