Provider Demographics
NPI:1437799020
Name:REFFITT, NANCY J (LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:REFFITT
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S ROGERS ST STE 202
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-3348
Mailing Address - Country:US
Mailing Address - Phone:469-805-5811
Mailing Address - Fax:
Practice Address - Street 1:301 S ROGERS ST STE 202
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-3348
Practice Address - Country:US
Practice Address - Phone:469-805-5811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14191101YA0400X
TX79477101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)