MS. NICOLETTE GORDON NPI 1407540677

NPI Information

NPI: 1407540677
Provider Name: MS. NICOLETTE GORDON
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2020 PAXTON DR SW
LILBURN, GA
ZIP 30047
Phone: (770) 490-4376
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MS. Nicolette Gordon is a professional counselor in Lilburn, GA. MS. Nicolette Gordon NPI is 1407540677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2020 PAXTON DR SW
LILBURN, GA
ZIP 30047-344
Phone: (770) 490-4376

The enumeration date for this NPI number is 6/8/2023 and was last updated on 6/8/2023.

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
1	101YP2500X	Counselor	Professional	013764	GEORGIA	Yes
2	101YM0800X	Counselor	Mental Health	013764	GEORGIA	No

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

NPI Synchronization or Removal

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