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TRACY NICHOLS NPI 1255724704


NPI Information

NPI: 1255724704
Provider Name: TRACY NICHOLS
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
5300 BRICKLEBERRY WAY
SUITE 103
DOUGLASVILLE, GA
ZIP 30134
Phone: (678) 886-0999
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Tracy Nichols is a pastoral counselor in Douglasville, GA. Tracy Nichols NPI is 1255724704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5300 BRICKLEBERRY WAY
SUITE 103
DOUGLASVILLE, GA
ZIP 30134-066
Phone: (678) 886-0999

The enumeration date for this NPI number is 3/9/2015 and was last updated on 7/15/2020.


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
1101YP1600XCounselorPastoral11102014GEORGIAYes

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: 5/5/2024
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