Provider Demographics
NPI:1386910743
Name:DAVIS, ELSA-IRIS SILVA (LMFT, LPC)
Entity type:Individual
Prefix:
First Name:ELSA-IRIS
Middle Name:SILVA
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 LONGHORN CT
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-4719
Mailing Address - Country:US
Mailing Address - Phone:832-588-0923
Mailing Address - Fax:
Practice Address - Street 1:101 W RENNER RD STE 220
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-2081
Practice Address - Country:US
Practice Address - Phone:972-441-4402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201748106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist