Provider Demographics
NPI:1235416355
Name:DORSETT, NANCY (MA LPC LCDC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:DORSETT
Suffix:
Gender:F
Credentials:MA LPC LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12531 W HIGHWAY 71
Mailing Address - Street 2:2208
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-6640
Mailing Address - Country:US
Mailing Address - Phone:512-955-1350
Mailing Address - Fax:
Practice Address - Street 1:12531 W HIGHWAY 71
Practice Address - Street 2:2208
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-6640
Practice Address - Country:US
Practice Address - Phone:512-955-1350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4635101YA0400X
TX64662101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)