Collins, Stacy Nichols

Collins, Stacy Nichols is an individual health care provider with primary practice located at 190 Camden Hill Rd Suite A, Lawrenceville GA 30046-2448. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Collins, Stacy Nichols can be contacted via phone (770) 513-8988.

Contact Information

Primary practice address
190 Camden Hill Rd Suite A Lawrenceville GA 30046-2448
Phone: (770) 513-8988
Fax: (770) 513-2565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC004513 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004513 Georgia

Profile Details

NPI number 1760719736
LBN Legal business name Collins, Stacy Nichols
Credentials M.S., NCC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2009
Last updated Nov 11th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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