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MS. NICOLETTE GORDON
NPI 1407540677
Counselor - Professional in Lilburn, GA

Active since June 08, 2023
2020 PAXTON DR SW, LILBURN, GA 30047(770) 490-4376 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Nicolette Gordon NPPES

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

MS. NICOLETTE GORDON (NPI 1407540677) is an individual professional provider in Lilburn, Georgia, licensed in Georgia (013764) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1407540677
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. NICOLETTE GORDON
Location Address2020 PAXTON DR SWLilburn, GA 30047-3344
Mailing Address2020 Paxton Dr SwLilburn, GA 30047-3344 · (770) 490-4376
Phone(770) 490-4376
Sole ProprietorNo
Enumeration DateJune 8, 2023
NPPES CertifiedJune 8, 2023
✔ NPI 1407540677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 013764
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 013764 (GA)
2020 PAXTON DR SW, Lilburn, GA 30047
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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 Nicolette Gordon's NPI number?

The NPI number for Nicolette Gordon is 1407540677. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Where is Nicolette Gordon located?

Nicolette Gordon practices at 2020 Paxton Dr SW, Lilburn, GA 30047. The listed phone number is (770) 490-4376.

What is Nicolette Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Nicolette Gordon was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.