Provider Demographics
NPI:1700479359
Name:DAVILA-SLENTZ, NANCY (M ED LPC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:DAVILA-SLENTZ
Suffix:
Gender:F
Credentials:M ED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 LBJ FWY STE 261
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6482
Mailing Address - Country:US
Mailing Address - Phone:469-283-8777
Mailing Address - Fax:
Practice Address - Street 1:6350 LBJ FWY STE 261
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6482
Practice Address - Country:US
Practice Address - Phone:469-283-8777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-15
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81081101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional