Provider Demographics
NPI:1255839296
Name:NOLAN, HEATHER MICHELLE (LCSW-S, LCDC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:MICHELLE
Last Name:NOLAN
Suffix:
Gender:F
Credentials:LCSW-S, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 W ARAPAHO RD
Mailing Address - Street 2:STE 208
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4371
Mailing Address - Country:US
Mailing Address - Phone:817-683-8045
Mailing Address - Fax:
Practice Address - Street 1:580 W ARAPAHO RD
Practice Address - Street 2:STE 208
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4371
Practice Address - Country:US
Practice Address - Phone:817-683-8045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-24
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12531101YA0400X
TX42327104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker