Healthcare Provider Details

I. General information

NPI: 1912861394
Provider Name (Legal Business Name): NICOLE PAIGE GARWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CRAWFORD ST
HOUSTON TX
77002-9000
US

IV. Provider business mailing address

202 E CENTRAL AVE
BELTON TX
76513-3238
US

V. Phone/Fax

Practice location:
  • Phone: 512-730-0260
  • Fax:
Mailing address:
  • Phone: 512-730-0260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number98794
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: