Individual
NICOLE W NIMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
203 INDUSTRIAL PARK DR, ADEL, GA 31620-3446
(229) 896-4559
Mailing address
2310 N PATTERSON ST BLDG H, VALDOSTA, GA 31602-2500
(229) 333-0300
(229) 333-0306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC015426
GA
101YP2500X
Professional Counselor
LPC015426
GA
Other
Enumeration date
02/24/2025
Last updated
04/14/2026
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