MEDICARE: NICOLE GROVES, LPC PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1750232401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NICOLE GROVES, LPC PLLC

Provider Business Mailing Address
First Line	:	706 NECHES ST
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766-2408
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	706 NECHES ST
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766-2408
Country	:	US
Telephone Number	:	903-857-0860
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICOLE GROVES
Credential	:	LPC, LMHC
Telephone Number	:	903-587-0860

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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