Provider Demographics
NPI:1871878223
Name:LANSBERY, NICOLE DAWN (LPC-S, LMFT)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:DAWN
Last Name:LANSBERY
Suffix:
Gender:
Credentials:LPC-S, LMFT
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:DAWN
Other - Last Name:SPOTTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4601 SPICEWOOD SPRINGS RD STE 3-100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-7844
Mailing Address - Country:US
Mailing Address - Phone:512-902-3282
Mailing Address - Fax:512-535-3499
Practice Address - Street 1:4601 SPICEWOOD SPRINGS RD STE 3-100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-7844
Practice Address - Country:US
Practice Address - Phone:512-902-3282
Practice Address - Fax:512-535-3499
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202917106H00000X
TX64199101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
27-2423142OtherEIN