Provider Demographics
NPI:1477029197
Name:WILLIAMS, NICOLE MONE (EDD, LPC)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:MONE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18917 KEELI LN
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3489
Mailing Address - Country:US
Mailing Address - Phone:512-426-0938
Mailing Address - Fax:
Practice Address - Street 1:8700 MENCHACA RD STE 801
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5379
Practice Address - Country:US
Practice Address - Phone:737-232-3358
Practice Address - Fax:737-215-3160
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-20
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71284101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional