Provider Demographics
NPI:1043519143
Name:TAPIE, NICK JONATHAN (LMFT)
Entity type:Individual
Prefix:MR
First Name:NICK
Middle Name:JONATHAN
Last Name:TAPIE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 E SOUTH 11TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-4252
Mailing Address - Country:US
Mailing Address - Phone:325-518-0854
Mailing Address - Fax:
Practice Address - Street 1:1217 E SOUTH 11TH ST STE A
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-4252
Practice Address - Country:US
Practice Address - Phone:325-518-0854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201104106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist