Individual
MRS. NICOLE ANDREA WINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 VIVIAN LN, PEACHTREE CITY, GA 30269-2305
(706) 670-1604
Mailing address
112 VIVIAN LN, PEACHTREE CITY, GA 30269-2305
(470) 667-0160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SC60819452
WA
1041C0700X
Clinical Social Worker
0904014794
VA
1041C0700X
Clinical Social Worker
Primary
CSW007843
GA
1041C0700X
Clinical Social Worker
LC200004175
DC
1041C0700X
Clinical Social Worker
LICSW126377
MA
Other
Enumeration date
12/11/2016
Last updated
04/02/2026
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