Provider Demographics
NPI:1427208347
Name:GAUTREAU, ELIZABETH J (PSYD, LPC-S)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:J
Last Name:GAUTREAU
Suffix:
Gender:F
Credentials:PSYD, LPC-S
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:J
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD, LPC-S
Mailing Address - Street 1:25 NOBLE COURT
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75032
Mailing Address - Country:US
Mailing Address - Phone:972-722-9022
Mailing Address - Fax:972-722-9022
Practice Address - Street 1:25 NOBLE COURT
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:TX
Practice Address - Zip Code:75032-6260
Practice Address - Country:US
Practice Address - Phone:972-292-7092
Practice Address - Fax:972-292-7092
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62218101YM0800X, 101YP2500X
TXTXLPC62218101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional