Provider Demographics
NPI:1629593199
Name:HICKS, ALICIA BEATRICE (LCSW-S, LCDC)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:BEATRICE
Last Name:HICKS
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 1:8700 BRODIE LN APT 624
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-7935
Mailing Address - Country:US
Mailing Address - Phone:281-236-5600
Mailing Address - Fax:
Practice Address - Street 1:13359 N HIGHWAY 183 STE 406-706
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-7153
Practice Address - Country:US
Practice Address - Phone:512-766-9470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-07
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health