Nicole Stackpole, LPC, R-DMT

Counselor · Buda, TX

Individual Active NPI

NPI number 1639719974

Practice location

112 Cimarron Park Loop Ste B
Buda, TX 78610-2850
Phone
(512) 643-0840

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NPI record

NPI
1639719974
Entity type
Individual (Type 1)
Enumeration date
January 15, 2020
Last updated
January 15, 2020
Certified
January 15, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X 79813 TX

Mailing address

2915 Aftonshire Way Apt 9301
Austin, TX 78748-5883
Phone
(512) 643-0840

About Nicole Stackpole

Nicole Stackpole, LPC, R-DMT is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 112 Cimarron Park Loop Ste B, Buda, TX 78610-2850. The NPI number 1639719974 was assigned on January 15, 2020 and the record was last updated on January 15, 2020.

Nicole Stackpole lists a license in the registry: #79813 (TX) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nicole Stackpole, LPC, R-DMT?

The NPI number is 1639719974.

What is the phone number of Nicole Stackpole?

The phone number listed for the practice location is (512) 643-0840.

Where is Nicole Stackpole located?

112 Cimarron Park Loop Ste B, Buda, TX 78610-2850.

What is the taxonomy code for Nicole Stackpole?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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