Individual
MRS. NICOLANNE SMITH EUSTACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3044 SHALLOWFORD RD NE, ATLANTA, GA 30341-3641
(843) 670-7813
Mailing address
4088 COMANCHE DR, TUCKER, GA 30084-4422
(843) 670-7813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC005927
GA
101YM0800X
Mental Health Counselor
Primary
LPC011879
GA
Other
Enumeration date
10/02/2017
Last updated
11/17/2025
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