NICKLES PRIVATE PROBATION SERVICES LLC NPI 1215779665

NPI Information

  • NPI: 1215779665
  • Provider Name: NICKLES PRIVATE PROBATION SERVICES LLC
  • Classification: Clinic/Center - 261QR0800X
  • Specialization: Recovery Care
  • Entity Type: Organization
  • Address: 205 3RD ST
    STEELVILLE, MO
    ZIP 65565
  • Phone: (573) 712-5145

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NPI Details

NICKLES PRIVATE PROBATION SERVICES LLC is a recovery care clinic center in Steelville, MO. NICKLES PRIVATE PROBATION SERVICES LLC NPI is 1215779665. The provider is registered as an organization entity type.

The provider's business location address is:

205 3RD ST
STEELVILLE, MO
ZIP 65565-054
Phone: (573) 712-5145
Fax: (630) 305-9287

The provider's authorized official is Kenneth Lee Nickles .
The authorized official title is Sole Member and has the following contact phone number (573) 712-5145.

The enumeration date for this NPI number is 6/7/2024 and was last updated on 6/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0800XClinic/CenterRecovery CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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