Healthcare Provider Details

I. General information

NPI: 1154247286
Provider Name (Legal Business Name): NIKAO COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 S. WALL ST, EXECUTIVE 2
CALHOUN GA
30701
US

IV. Provider business mailing address

557 HAMMOND RD SE
CALHOUN GA
30701-4196
US

V. Phone/Fax

Practice location:
  • Phone: 678-956-2678
  • Fax:
Mailing address:
  • Phone: 678-956-2678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KATIE MORAITAKIS
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 678-956-2678