Provider Demographics
NPI:1386299170
Name:DEAN, ELLEN N (MS, LPC-S, LMFT-S)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:N
Last Name:DEAN
Suffix:
Gender:F
Credentials:MS, LPC-S, LMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 HAMPSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4306
Mailing Address - Country:US
Mailing Address - Phone:972-231-0808
Mailing Address - Fax:
Practice Address - Street 1:1105 HAMPSHIRE LN
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4306
Practice Address - Country:US
Practice Address - Phone:972-231-0808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4994106H00000X
TX16889101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist