Individual provider · Type 1 NPI

Nicole Bashan Lewis

Mental Health Counselor · Universal City, TX

NPI number 1053847251 Active

Practice location

221 3rd St W Bldg 1040
Universal City, TX 78150-4800

Mailing address

613 Wildcat Run
Cibolo, TX 78108-3495

Other practice locations

  • 613 Wildcat Run, Cibolo, TX 78108-3495 · (219) 789-3423
  • 5241 Fountain Dr, Crown Point, IN 46307-5323 · (219) 789-3423
  • 912 Alta Dr, Valparaiso, IN 46385-8562 · (219) 789-3423

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X180014935 (IL)
Mental Health Counselor Primary 101YM0800X390041014A (IN)
Mental Health Counselor 101YM0800X93611 (TX)

Mental Health Counselor: Definition to come...

55 other providers at this address

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About NPI 1053847251

Nicole Bashan Lewis's National Provider Identifier is 1053847251, issued on May 8, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Universal City, TX. The record was last updated on Aug 11, 2026.