Provider Demographics
NPI:1093512733
Name:GONZALEZ, ELENA (LPC)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3627 SLUMBER LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-6419
Mailing Address - Country:US
Mailing Address - Phone:956-459-8552
Mailing Address - Fax:956-459-8552
Practice Address - Street 1:3627 SLUMBER LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-6419
Practice Address - Country:US
Practice Address - Phone:956-459-8552
Practice Address - Fax:956-459-8552
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81664101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty