SearchGeorgia1041C0700X

Lisa Nichols, LCSW, RN, BC

NPI 1942471917 · on the registry since 2008 · sole proprietor

Practice

Address
216 Sailors Dr Ste 131
Ellijay, GA 30540
Phone
(706) 636-1386
Fax
(706) 636-1396
Organisation at this address
Radical Pathways Counseling Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-03-18

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