Nacole Ballard, LAPC, NCC, CTP
Individual provider Active NPI Counselor · Richmond Hill, GA
NPI 1861291163 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1861291163
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- APC010238 (GA)
- Practice address
- 10393 Ford Ave BLDG C2ND
Richmond Hill, GA 31324-8811 - Phone
- (770) 733-0635
- NPI assigned
- Mar 10, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC010238 | GA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suns Up International, Inc | Current |
Accepting new patients |
Locations
138 Canal St
Ste 303
Pooler, GA 31322
Phone (912) 433-7829
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | APC010238 | GA | Yes |
Addresses
Primary practice location
10393 Ford Ave BLDG C2ND
Richmond Hill, GA 31324-8811
Mailing address
138 Canal St Ste 303
Pooler, GA 31322-4046
Phone (912) 433-7829
Other practice location 1
138 Canal St Ste 303
Pooler, GA 31322-4046
Phone (770) 733-0635
Other names
- Francise Ballard
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.