Provider Demographics
NPI:1992716591
Name:WARREN-HICKS, VICKIE LEANN (LPC)
Entity type:Individual
Prefix:MRS
First Name:VICKIE
Middle Name:LEANN
Last Name:WARREN-HICKS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 W FM 1606
Mailing Address - Street 2:
Mailing Address - City:HERMLEIGH
Mailing Address - State:TX
Mailing Address - Zip Code:79526-3522
Mailing Address - Country:US
Mailing Address - Phone:325-235-4700
Mailing Address - Fax:325-235-4781
Practice Address - Street 1:1913 7TH ST
Practice Address - Street 2:
Practice Address - City:SNYDER
Practice Address - State:TX
Practice Address - Zip Code:79549-8425
Practice Address - Country:US
Practice Address - Phone:325-235-4700
Practice Address - Fax:325-235-4781
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16378101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6774LCOtherBCBS
TX141891501Medicaid