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NICKOLE BUSH
NPI 1366088379
Counselor - Mental Health in Villa Rica, GA

Active since November 25, 2019
101 QUARTZ DR STE 103A, VILLA RICA, GA 30180(678) 471-6925 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nickole Bush NPPES

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

NICKOLE BUSH (NPI 1366088379) is an individual mental health provider in Villa Rica, Georgia, licensed in Georgia (APC006745) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1366088379
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICKOLE BUSH
Location Address101 QUARTZ DR STE 103AVilla Rica, GA 30180-3201
Mailing Address101 Quartz Dr Ste 103aVilla Rica, GA 30180-3201
Phone(678) 471-6925
Sole ProprietorNo
Enumeration DateNovember 25, 2019
✔ NPI 1366088379 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 · APC006745
101 QUARTZ DR STE 103A, Villa Rica, GA 30180
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Other Providers at the Same Location NPPES 14

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

TANNER MEDICAL CENTER, INC.
Community/Behavioral Health
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 456-3266
MRS. KENYA ADRIAN PATTERSON L.P.C.
Counselor (Professional)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-8863
BRITTANY LILLY MA, APC
Counselor (Professional)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-3598
CELINA NOBLE
Counselor (Mental Health)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-8863
ERIN DURHAM
Counselor (Mental Health)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-8863
SYREETA RENEE NALLS LPC
Counselor (Professional)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-3541
LAUREN A BROWN LMSW
Social Worker
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (678) 552-5336
MRS. BENITA N BROWN NP
Nurse Practitioner (Psychiatric/Mental Health)
101 QUARTZ DR STE 103A
VILLA RICA, GA 30180
Carroll County (770) 812-8863

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 Nickole Bush's NPI number?

The NPI number for Nickole Bush is 1366088379. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Where is Nickole Bush located?

Nickole Bush practices at 101 Quartz Dr Ste 103A, Villa Rica, GA 30180. The listed phone number is (678) 471-6925.

What is Nickole Bush'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 Nickole Bush was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.