Provider Demographics
NPI:1134848161
Name:BETANCOURT, NAYROBITH LISSET (LMSW)
Entity type:Individual
Prefix:
First Name:NAYROBITH
Middle Name:LISSET
Last Name:BETANCOURT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14205 N MO PAC EXPY STE 156962
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-6527
Mailing Address - Country:US
Mailing Address - Phone:512-584-6092
Mailing Address - Fax:
Practice Address - Street 1:14205 N MO PAC EXPY STE 156962
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-6527
Practice Address - Country:US
Practice Address - Phone:512-584-6092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1082751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical