Image

Tracy Nichols

Pastoral Counselor

5300 Brickleberry Way Suite 103
Douglasville , Georgia 30134-4066

Write a Review Save Call QR Code
Image

Tracy Nichols

Pastoral Counselor

5300 Brickleberry Way Suite 103
Douglasville , Georgia 30134-4066

(678) 886-0999

Write a Review Save Call

Tracy Nichols

Pastoral Counselor

5300 Brickleberry Way Suite 103
Douglasville , Georgia 30134-4066

(678) 886-0999 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pastoral Counselor

Languages spoken

  • English

Location

5300 Brickleberry Way Suite 103 Douglasville , Georgia 30134-4066

First Address

  • Tracy Nichols
  • 5300 Brickleberry Way Suite 103
  • Douglasville, GA
  • Zip : 30134-4066
  • Phone : (678) 886-0999

Second Address

  • Tracy Nichols
  • 5300 Brickleberry Way Suite 103
  • Douglasville, GA
  • Zip : 30134-4066
  • Phone : (678) 886-0999

Reviews

Start your review of Tracy Nichols

FAQs


Where did Tracy Nichols attend graduate school?

Provider has not completed his profile. If you are Tracy Nichols, click here to claim your profile

Where did Tracy Nichols do his residency?

Provider has not completed his profile. If you are Tracy Nichols, click here to claim your profile

Where did Tracy Nichols do his fellowship?

Provider has not completed his profile. If you are Tracy Nichols, click here to claim your profile

Is Tracy Nichols board certified?

Provider has not completed his profile. If you are Tracy Nichols, click here to claim your profile

What type of doctor is Tracy Nichols

Pastoral Counselor

In what state does Tracy Nichols practice in?

Georgia

Where is Tracy Nichols ’s practice located?

5300 Brickleberry Way Suite 103 , Douglasville, Georgia, 30134-4066

What is Tracy Nichols ’s gender?

Male

Is Tracy Nichols a sole practitioner?

No

Is Tracy Nichols accepting new patients?

Provider has not completed his profile. If you are Tracy Nichols, click here to claim your profile

What languages does Tracy Nichols speak?

Provider has not completed his profile. If you are Tracy Nichols, click here to claim your profile

Does Tracy Nichols accept insurance?

Yes, Tracy Nichols accepts insurance

Does Tracy Nichols offers telemedicine?

Tracy Nichols has not indicated if he offers telemedicine

What is Tracy Nichols ’s professional license number?

Provider has not completed his profile. If you are Tracy Nichols, click here to claim your profile

What is Tracy Nichols ’s NPI number?

1255724704

Does Tracy Nichols have any license restrictions?

Provider has not completed his profile. If you are Tracy Nichols, click here to claim your profile

Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 101YP1600X Pastoral Counselor 11102014 GA

National Provider Identifier

NPI 1255724704
Provider Name Tracy Nichols
First Address Douglasville, GA 30134-4066
Second Address Douglasville, GA 30134-4066
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 09/03/2015
Last Update Date 15/07/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

Claim this business page.

This profile has not yet been claimed by the owner or a representative.

Search

Hello GPT