Healthcare Provider Details

I. General information

NPI: 1194301721
Provider Name (Legal Business Name): NICHOLE LE MONDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4760 PRESTON RD
FRISCO TX
75034-8548
US

IV. Provider business mailing address

4760 PRESTON RD STE 244-265
FRISCO TX
75034-8548
US

V. Phone/Fax

Practice location:
  • Phone: 972-827-7498
  • Fax:
Mailing address:
  • Phone: 972-827-7498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number77440
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: