Dr Amanda Nicole Nicholson, PHD, LMFT, MED is a
Marriage & Family Therapist based in Riverdale, Georgia. Dr Amanda Nicole Nicholson is licensed to practice in Georgia (license number MFT001741) and her current practice location is
269 Highway 138 Sw Apt 902, Riverdale, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 549-4263.
NPI number for Dr Amanda Nicole Nicholson is 1205451960 and her current mailing address is 269 Highway 138 Sw Apt 902, Riverdale, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205451960.
Healthcare Provider's Profile
Full Name | Dr Amanda Nicole Nicholson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 269 Highway 138 Sw Apt 902, Riverdale, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205451960
- Provider Enumeration Date: 06/09/2020
- Last Update Date: 06/09/2020
Medical Identifiers
Medical identifiers for Dr Amanda Nicole Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205451960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFT001741 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amanda Nicole Nicholson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Amanda Nicole Nicholson, PHD, LMFT, MED 269 Highway 138 Sw Apt 902, Riverdale, GA 30274-4064 Ph: (678) 549-4263 | Dr Amanda Nicole Nicholson, PHD, LMFT, MED 269 Highway 138 Sw Apt 902, Riverdale, GA 30274-4064 Ph: (678) 549-4263 |
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