person
Tara Elizabeth Nichols, MHC,LPC
Mental Health Counselor in Douglasville, Georgia
NPI 1225623556

Tara Elizabeth Nichols is a Mental Health Counselor based in Douglasville, GA and is specialized in Mental Health. Tara Elizabeth Nichols practices in Douglasville, GA and has the professional credentials of MHC,LPC. The NPI Number for Tara Elizabeth Nichols is 1225623556 and holds a License No. LPC012024 (Georgia).

The current practice location address for Tara Elizabeth Nichols is 6130 Prestley Mill Rd Ste A, Douglasville, GA and can be reached out via phone at 770-949-9675.

Location: 6130 Prestley Mill Rd Ste A, Douglasville, GA, 30135-7342
person
Provider Profile Details
NPI Number
1225623556
Provider Name
Tara Elizabeth Nichols
Credential
MHC,LPC
Provider Entity Type
Individual
Gender
Female
Address
6130 Prestley Mill Rd Ste A, Douglasville, GA, 30135-7342
Phone Number
770-949-9675
Fax Number
Provider Enumeration Date
03/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6130 Prestley Mill Rd Ste A
City
State
Zip
30134-2288
Phone Number
770-949-9675
Fax Number
person
Provider Business Mailing Address Details
Address
6130 Prestley Mill Rd Ste A
City
State
Zip
30134-2288
Phone Number
770-949-9675
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC012024 (Georgia)
Definition
Definition to come...
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