Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tracy Nichols

Individual provider Pastoral Counselor · NPI 1255724704

Tracy Nichols is a Pastoral Counselor in Douglasville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2015
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Practice location Address checks out

5300 Brickleberry Way Ste 103
Douglasville, GA 30134-4066
Phone: (678) 886-0999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X · Licence 11102014 (GA)

Record details

NPI number1255724704
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 9, 2015
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020
Mailing address5300 Brickleberry Way, Suite 103, Douglasville, GA 30134-4066

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