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Individual

NICHOLE GRIMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, LMHC

Contact information

Practice address
1007 MANSELL RD STE A205, ROSWELL, GA 30076-5019
(678) 756-2232
Mailing address
1007 MANSELL RD STE A205, ROSWELL, GA 30076-5019
(678) 756-2232

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
3676
AL
101Y00000X
Counselor
Primary
LPC012800
GA
101Y00000X
Counselor
MH13235
FL
101YP2500X
Professional Counselor
LPC012800
GA

Other

Enumeration date
05/08/2018
Last updated
09/30/2022
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