Provider Demographics
NPI:1922669282
Name:NOLIN, CAROLINE PIKE (LPC)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:PIKE
Last Name:NOLIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-4477
Mailing Address - Country:US
Mailing Address - Phone:214-356-2222
Mailing Address - Fax:
Practice Address - Street 1:1713 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-4477
Practice Address - Country:US
Practice Address - Phone:214-356-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
69117101YP2500X
TX69117101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX69117OtherDO NOT ASSOCIATE