Provider Demographics
NPI:1417609157
Name:NICOLE PONCE COUNSELING, LLC
Entity Type:Organization
Organization Name:NICOLE PONCE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:CATHLEEN
Authorized Official - Last Name:PONCE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, LCDC
Authorized Official - Phone:832-723-3661
Mailing Address - Street 1:120 ELDRIDGE RD STE D
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4640
Mailing Address - Country:US
Mailing Address - Phone:832-723-3661
Mailing Address - Fax:
Practice Address - Street 1:120 ELDRIDGE RD STE D
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4640
Practice Address - Country:US
Practice Address - Phone:832-723-3661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty