Provider Demographics
NPI:1124616636
Name:ALVAREZ-OLSON, NICHOLAS AUGUSTUS (LPC, LMFT-A)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:AUGUSTUS
Last Name:ALVAREZ-OLSON
Suffix:
Gender:M
Credentials:LPC, LMFT-A
Other - Prefix:
Other - First Name:GUS
Other - Middle Name:
Other - Last Name:ALVAREZ-OLSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4407 BEE CAVES RD STE 422
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6406
Mailing Address - Country:US
Mailing Address - Phone:512-573-8050
Mailing Address - Fax:
Practice Address - Street 1:4407 BEE CAVES RD STE 422
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6406
Practice Address - Country:US
Practice Address - Phone:512-469-0535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-10
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203260106H00000X
TX80156101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist