Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AMBER BLAINE NICHOLSON
NPI 1609790013
Community Based Residential Treatment Facility, Mental Illness in Carrollton, GA

Q: What is Amber Nicholson's NPI number?

The NPI number for Amber Nicholson is 1609790013. It was assigned to this individual provider in the NPPES registry on August 7, 2026.

Q: What is Amber Nicholson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Amber Nicholson was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.

Active since August 07, 2026

309 MATTHEWS AVE, CARROLLTON, GA 30117(561) 914-7155 Get Directions Write a Review

NPPES record added: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amber Blaine Nicholson NPPES

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

AMBER BLAINE NICHOLSON (NPI 1609790013) is an individual community based residential treatment facility, mental illness provider in Carrollton, Georgia and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1609790013

Entity TypeIndividualFemale

Primary Taxonomy320800000X

Provider Legal NameAMBER BLAINE NICHOLSON

Location Address309 MATTHEWS AVECarrollton, GA 30117-3629

Mailing Address309 Matthews AveCarrollton, GA 30117-3629 · (561) 914-7155

Phone(561) 914-7155

Sole ProprietorYes

Enumeration DateAugust 7, 2026

NPPES CertifiedAugust 7, 2026

✔ NPI 1609790013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X

Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

Also ListedRespite CareTaxonomy 385H00000X

309 MATTHEWS AVE, Carrollton, GA 30117

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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 Amber Nicholson's NPI number?

The NPI number for Amber Nicholson is 1609790013. It was assigned to this individual provider in the NPPES registry on August 7, 2026.

Where is Amber Nicholson located?

Amber Nicholson practices at 309 Matthews Ave, Carrollton, GA 30117. The listed phone number is (561) 914-7155.

What is Amber Nicholson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Amber Nicholson was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.