Provider Demographics
NPI:1285979286
Name:COMPEAN, ELMA NYDIA (LPC, MED)
Entity type:Individual
Prefix:MRS
First Name:ELMA
Middle Name:NYDIA
Last Name:COMPEAN
Suffix:
Gender:F
Credentials:LPC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 N EAST ST
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-2516
Mailing Address - Country:US
Mailing Address - Phone:956-844-2014
Mailing Address - Fax:
Practice Address - Street 1:1511 N EAST ST
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-2516
Practice Address - Country:US
Practice Address - Phone:956-844-2014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-01
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69775101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional