| Nicole Tholmer, Lpc Llc | |
|
112 Cumberland Gate Se Smyrna GA 30080-7705 | |
| (770) 765-1652 | |
| (678) 426-8464 |
| Full Name | Nicole Tholmer, Lpc Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 112 Cumberland Gate Se, Smyrna, Georgia |
| Authorized Official Name and Position | Nicole Tholmer (CEO/ THERAPIST) |
| Authorized Official Contact | 7707651652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Tholmer, Lpc Llc 3316a S Cobb Dr Se Ste 221 Smyrna GA 30080-4118 Ph: (770) 765-1652 | Nicole Tholmer, Lpc Llc 112 Cumberland Gate Se Smyrna GA 30080-7705 Ph: (770) 765-1652 |
| NPI Number | 1477263200 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477263200 | NPI | - | NPPES |
| 003204125A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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