Nichols, Vivian

Nichols, Vivian is an sole proprietor health care provider with primary practice located at 170 Hedgerow Trl , Fayetteville GA 30214-7269. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Nichols, Vivian can be contacted via phone (678) 372-5094.

Contact Information

Primary practice address
170 Hedgerow Trl Fayetteville GA 30214-7269
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC007332 Georgia

Profile Details

NPI number 1407231624
LBN Legal business name Nichols, Vivian
Credentials B.S., M.S., S.S.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2015
Last updated Jul 29th, 2015 - about 11 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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