Nichols Counseling Services Llc

LBN: Nichols Counseling Services Llc
Nichols Counseling Services Llc is an health care organization with primary practice located at 5300 Brickleberry Way Ste 206 , Douglasville GA 30134-4068. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Nichols Counseling Services Llc can be contacted via phone (678) 886-0999, or through Nichols, Tracy via phone (678) 886-0999.

Contact Information

Primary practice address
5300 Brickleberry Way Ste 206 Douglasville GA 30134-4068
Phone: (678) 886-0999
Fax: (770) 485-1821
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Tracy
Phone: (678) 886-0999

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1467037689
LBN Legal business name Nichols Counseling Services Llc
DBA Doing business as
Authorized official Nichols, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2021
Last updated Mar 10th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467037689 NPPES
Georgia MEDICAID 003239367A

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