DR. BRANDY KAYE NICHOLSON LPC NPI 1104230184

NPI Information

  • NPI: 1104230184
  • Provider Name: DR. BRANDY KAYE NICHOLSON, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 4989 N MAIN ST STE 106
    ACWORTH, GA
    ZIP 30101
  • Phone: (470) 745-2775

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NPI Details

DR. Brandy Kaye Nicholson, LPC is a professional counselor in Acworth, GA. DR. Brandy Kaye Nicholson, LPC NPI is 1104230184. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4989 N MAIN ST STE 106
ACWORTH, GA
ZIP 30101-278
Phone: (470) 745-2775
Fax: (470) 745-2777

The enumeration date for this NPI number is 6/17/2014 and was last updated on 4/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YS0200XCounselorSchoolAPC005357GEORGIANo
2101YP2500XCounselorProfessionalLPC010754GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11104230184MEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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