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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

Active since August 07, 2026
309 MATTHEWS AVE, CARROLLTON, GA 30117(561) 914-7155 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 17, 2026, Aug 7, 2026 (2 updates tracked since 2026).

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
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 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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Other Providers at the Same Location NPPES 2

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

HEALING HEARTZ DAILY LLC
Community/Behavioral Health
309 MATTHEWS AVE
CARROLLTON, GA 30117
Carroll County (404) 548-4637
HEALING HEARTZ AT HOME LLC
Home Health
309 MATTHEWS AVE
CARROLLTON, GA 30117
Carroll County (470) 654-3505

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 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.