Amber Blaine Nicholson
Amber Blaine Nicholson is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Carrollton, Georgia. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 5
Practice location Address checks out
309 Matthews AveCarrollton, GA 30117-3629
Phone: (561) 914-7155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
| Psychiatric Residential Treatment Facility | Taxonomy 323P00000X |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X |
| Respite Care | Taxonomy 385H00000X |
Record details
| NPI number | 1609790013 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 7, 2026 |
| Last updated in NPPES | August 7, 2026 |
| Certification date | August 7, 2026 |
| Mailing address | 309 Matthews Ave, Carrollton, GA 30117-3629 |
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Pathways Center for Behavioral & Developmental Growth
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