Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY NICHOLS
Active Sole ProprietorTRACY NICHOLS is a Pastoral Counselor healthcare provider located in DOUGLASVILLE, Georgia. NPI 1255724704 is currently active in the NPPES registry. Verify at CMS.
Pastoral Counselor · DOUGLASVILLE, GA
Registration Details
- NPI Number
- 1255724704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2015 (11.472596788954 yrs)
- Last Updated
- Jul 15, 2020
- License
-
11102014 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5300 BRICKLEBERRY WAYSUITE 103DOUGLASVILLE, GA, 301344066Browse GA providers · Browse ZIP 30134
- Phone
- 6788860999
- Primary Specialty
-
Pastoral Counselor
101YP1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.