Tara Nichols, MHC, LPC

NPI 1225623556 · on the registry since 2021 · sole proprietor

Practice

Address: 6130 Prestley Mill Rd Ste A
Douglasville, GA 30134
Phone: (770) 949-9675
Organisation at this address: Arbor Place Family Medicine
Dennis L. Herendeen, Ph.D., P.C.
Ear, Nose & Throat Plastic Surgery Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-03-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia