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NICHOLS COUNSELING SERVICES LLC
NPI 1467037689
Clinic/Center - Mental Health (Including Community Mental Health Center) in Douglasville, GA

Active since March 10, 2021
5300 BRICKLEBERRY WAY STE 206, DOUGLASVILLE, GA 30134(678) 886-0999(770) 485-1821 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nichols Counseling Services Llc NPPES

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

NICHOLS COUNSELING SERVICES LLC (NPI 1467037689) is a healthcare organization registered as a mental health (including community mental health center) in Douglasville, Georgia and active in the NPI registry since March 2021. The organization lists Tracy Nichols, Owner, as its authorized official.

NPPES Registry Identity

NPI1467037689
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNICHOLS COUNSELING SERVICES LLC
Location Address5300 BRICKLEBERRY WAY STE 206Douglasville, GA 30134-4068
Mailing Address5300 Brickleberry Way Ste 206Douglasville, GA 30134-4068 · (678) 886-0999 · Fax (770) 485-1821
Phone(678) 886-0999
Fax(770) 485-1821
Organization SubpartNo
Authorized OfficialTracy NicholsOwner · (678) 886-0999
Enumeration DateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1467037689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
5300 BRICKLEBERRY WAY STE 206, Douglasville, GA 30134
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Other Identifiers 1

Medicaid003239367AGA

Other Providers at the Same Location NPPES

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

ANDREA CORLEY
Counselor (Professional)
5300 BRICKLEBERRY WAY STE 206
DOUGLASVILLE, GA 30134
Douglas County (678) 886-0999

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 Nichols Counseling Services LLC's NPI number?

The NPI number for Nichols Counseling Services LLC is 1467037689. It was assigned to this organization in the NPPES registry on March 10, 2021.

Where is Nichols Counseling Services LLC located?

Nichols Counseling Services LLC is located at 5300 Brickleberry Way Ste 206, Douglasville, GA 30134. The listed phone number is (678) 886-0999.

What is Nichols Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Nichols Counseling Services LLC was last updated on March 10, 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.