Individual
SHYANNE ATOCHA NOURSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 RICE HOPE PLANTATION RD, PORT WENTWORTH, GA 31407-9653
(912) 414-7054
(866) 414-7054
Mailing address
201 PILOT ST, SAVANNAH, GA 31401-1123
(505) 917-3844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01875
CADC-II
GA
01
—
CAP.0100620
CAP
FL
01
—
ICADC.0000273
ICADC
FL
Enumeration date
07/21/2021
Last updated
08/11/2025
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