NICOLE JUSTINE BROGDON MAC LPC LMFT NPI 1003356577

NPI Information

NPI: 1003356577
Provider Name: NICOLE JUSTINE BROGDON, MAC LPC LMFT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2720 BEE CAVES RD
AUSTIN, TX
ZIP 78746
Phone: (512) 217-5247
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Nicole Justine Brogdon, MAC LPC LMFT is a professional counselor in Austin, TX. Nicole Justine Brogdon, MAC LPC LMFT NPI is 1003356577. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2720 BEE CAVES RD
AUSTIN, TX
ZIP 78746-642
Phone: (512) 217-5247
Fax: (512) 732-0556

The enumeration date for this NPI number is 3/3/2017 and was last updated on 3/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		201143	TEXAS	No
2	101YP2500X	Counselor	Professional	63068	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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