Tableriou, Nicole Jane

Tableriou, Nicole Jane is an sole proprietor health care provider with primary practice located at 2011 Fountainwood Dr , Georgetown TX 78633-1907. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tableriou, Nicole Jane can be contacted via phone (512) 994-0508.

Contact Information

Primary practice address
2011 Fountainwood Dr Georgetown TX 78633-1907
Phone: (512) 994-0508
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13848 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 77670 Texas

Profile Details

NPI number 1083272041
LBN Legal business name Tableriou, Nicole Jane
Credentials LPC, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2019
Last updated Jun 4th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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