Individual provider · Type 1 NPI

Nina White, PhD, LPC, LMHC, NCC

Professional Counselor · Douglasville, GA

NPI number 1104845965 Active

Practice location

4813 Ridge Rd Ste 113
Douglasville, GA 30134-6120

Call (470) 567-9191 Map

Fax (404) 905-6336

Mailing address

PO Box 1018
Hiram, GA 30141-1018

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC007084 (GA)
Mental Health Counselor 101YM0800XLMH6619 (FL)

Professional Counselor: Definition to come...

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About NPI 1104845965

Nina White, PhD, LPC, LMHC, NCC's National Provider Identifier is 1104845965, issued on Jul 19, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Douglasville, GA. The record was last updated on Oct 17, 2025.