Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nicole Douglas Psychology and Wellness, PLLC

Organization Clinical Psychologist · NPI 1245181379

Nicole Douglas Psychology and Wellness, PLLC provides Clinical Psychologist services in Carbondale, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3412 S Illinois Ave
Carbondale, IL 62903-8362
Phone: (618) 506-0107
Fax: (618) 457-8844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1245181379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Douglas — Clinical Psychologist · (315) 447-5432
NPI enumeratedFebruary 5, 2026
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing address202 Excalibur Dr, Carterville, IL 62918-3602

Other providers in Carbondale