Provider Demographics
NPI:1073669156
Name:NOLIN, GEORGE DAMON (LPC LMFT)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:DAMON
Last Name:NOLIN
Suffix:
Gender:M
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 LILY FLAGG ROAD
Mailing Address - Street 2:SUITE D
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-3066
Mailing Address - Country:US
Mailing Address - Phone:256-881-5352
Mailing Address - Fax:256-881-5355
Practice Address - Street 1:116 LILY FLAGG ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-3066
Practice Address - Country:US
Practice Address - Phone:256-881-5352
Practice Address - Fax:256-881-5355
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL634101Y00000X
ALL116106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist