Organization
NICOLE THOLMER, LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE THOLMER LPC (CEO/ THERAPIST)
(770) 765-1652
Entity
Organization
Contact information
Practice address
112 CUMBERLAND GATE SE, SMYRNA, GA 30080-7705
(770) 765-1652
(678) 426-8464
Mailing address
3316A S COBB DR SE STE 221, SMYRNA, GA 30080-4118
(770) 765-1652
(678) 426-8464
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003204125A
—
GA
Enumeration date
12/02/2022
Last updated
02/05/2024
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