Most Relevant Information
Provider Data
| NPI Number: | 1003465261 |
| Provider Name: | NICOLE MCKINNEY MS, LPC, CSOTS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 7251 |
Most Important Dates
| Enumeration Date: | 09/10/2019 |
| Last Updated: | 11/04/2019 |
Provider Practice Location
2510 WADE HAMPTON BLVD
GREENVILLE
SC
296151168
Practice Location Phone/Fax
| Phone: | 8645090774 |
| Fax: |
Provider Mailing Location
1407 GEER HWY
TRAVELERS REST
SC
296907606
Provider Mailing Phone/Fax
| Phone: | 8642932053 |
| Fax: |