Individual ProviderNichole MichelsonCounselorBehavioral Health & Social Service ProvidersPractice Address2964 Peachtree Rd NW Ste 760, Atlanta, GA 30305-2220(404) 913-6558(914) 329-2497PECOS EnrollmentBased on the most recent information from CMS, provider Nichole Michelson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1487427662Provider TypeIndividualFull NameMichelson, NicholeCredentialMAGenderFemaleSole ProprietorYesEnumeration Date10/31/2023Last Updated10/31/2023Contact InformationPractice LocationPractice Address2964 Peachtree Rd NW Ste 760, Atlanta, GA 30305-2220Phone(404) 913-6558FaxUnlisted FaxMailing LocationMailing Address105 Blackland Rd NW, Atlanta, GA 30342-4409Phone(914) 329-2497FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer