Provider Demographics
NPI:1720182173
Name:SPRINGER, NICOLE P (PHD LMFT)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:P
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:PHD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1226
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77574
Mailing Address - Country:US
Mailing Address - Phone:281-989-8640
Mailing Address - Fax:281-316-2471
Practice Address - Street 1:18333 EGRET BAY BLVD
Practice Address - Street 2:STE 270
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058
Practice Address - Country:US
Practice Address - Phone:281-335-3640
Practice Address - Fax:281-316-2471
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4791106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00220BOtherBCBS
7822385OtherAETNA
10008924OtherAMERIGROUP
416877OtherVALUE OPTIONS