Individual provider · Type 1 NPI

Lilly Nichols

Mental Health Counselor · Waterford, MI

NPI number 1063371771 Active

Practice location

279 Summit Dr
Waterford, MI 48328-3364

Mailing address

540 Thompson St # 4122
Ann Arbor, MI 48104-2414

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063371771

Lilly Nichols's National Provider Identifier is 1063371771, issued on Jan 19, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waterford, MI. The record was last updated on Jan 19, 2026.