Nicholson, Amanda Nicole

Nicholson, Amanda Nicole is an sole proprietor health care provider with primary practice located at 269 Highway 138 Sw Apt 902 , Riverdale GA 30274-4064. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Nicholson, Amanda Nicole can be contacted via phone (678) 549-4263.

Contact Information

Primary practice address
269 Highway 138 Sw Apt 902 Riverdale GA 30274-4064
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT001741 Georgia

Profile Details

NPI number 1205451960
LBN Legal business name Nicholson, Amanda Nicole
Credentials PHD, LMFT, ME.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2020
Last updated Jun 9th, 2020 - about 6 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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