Tracy Nichols

NPI 1255724704 · on the registry since 2015 · sole proprietor

Practice

Address: 5300 Brickleberry Way
Suite 103
Douglasville, GA 30134
Phone: (678) 886-0999
Organisation at this address: Dhw Enterprises
Intouch Medical Supplies Llc
Nichols Counseling Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Pastoral Counselor
101YP1600X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-07-15

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