Provider Demographics
NPI:1427616275
Name:ALASA, ESTHER ITO (LPC)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:ITO
Last Name:ALASA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3748 US HIGHWAY 59 N STE A
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-8981
Mailing Address - Country:US
Mailing Address - Phone:936-259-2119
Mailing Address - Fax:936-286-3106
Practice Address - Street 1:955 DAIRY ASHFORD RD STE 106
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5307
Practice Address - Country:US
Practice Address - Phone:281-891-3760
Practice Address - Fax:346-226-3663
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83797101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83797OtherSTATE LICENSE
TX373188702Medicaid