1. Home
  2. Directory
  3. Georgia
  4. Douglasville
  5. Counselor
  6. NPI Profile

TARA ELIZABETH NICHOLS MHC, LPC
NPI 1225623556
Counselor - Mental Health in Douglasville, GA

Active since March 08, 2021
6130 PRESTLEY MILL RD STE A, DOUGLASVILLE, GA 30134(770) 949-9675 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Elizabeth Nichols Mhc, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA ELIZABETH NICHOLS MHC, LPC (NPI 1225623556) is an individual mental health provider in Douglasville, Georgia, licensed in Georgia (LPC012024) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1225623556
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTARA ELIZABETH NICHOLSCredential: MHC, LPC
Location Address6130 PRESTLEY MILL RD STE ADouglasville, GA 30134-2288
Mailing Address3050 Autumn Woods CtDouglasville, GA 30135-7342 · (678) 634-8989
Phone(770) 949-9675
Sole ProprietorYes
Enumeration DateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1225623556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC012024
6130 PRESTLEY MILL RD STE A, Douglasville, GA 30134
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENNIS L. HERENDEEN, PH.D., P.C.
Psychologist (Clinical)
6130 PRESTLEY MILL RD STE A
DOUGLASVILLE, GA 30134
Douglas County (770) 949-9675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Nichols's NPI number?

The NPI number for Tara Nichols is 1225623556. It was assigned to this individual provider in the NPPES registry on March 8, 2021.

Where is Tara Nichols located?

Tara Nichols practices at 6130 Prestley Mill Rd Ste A, Douglasville, GA 30134. The listed phone number is (770) 949-9675.

What is Tara Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tara Nichols was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.