Gordon, Nicolette

Gordon, Nicolette is an individual health care provider with primary practice located at 2020 Paxton Dr Sw , Lilburn GA 30047-3344. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gordon, Nicolette can be contacted via phone (770) 490-4376.

Contact Information

Primary practice address
2020 Paxton Dr Sw Lilburn GA 30047-3344
Phone: (770) 490-4376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 013764 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 013764 Georgia

Profile Details

NPI number 1407540677
LBN Legal business name Gordon, Nicolette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2023
Last updated Jun 8th, 2023 - about 3 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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