Provider Demographics
NPI:1013028059
Name:COSTA, JANICE ELAINE (LPC LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:ELAINE
Last Name:COSTA
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:MRS
Other - First Name:JANICE
Other - Middle Name:KELLEY
Other - Last Name:COSTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC LMFT
Mailing Address - Street 1:2702 WOODS ESTATES DRIVE
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339
Mailing Address - Country:US
Mailing Address - Phone:281-358-4371
Mailing Address - Fax:
Practice Address - Street 1:22999 US HWY 59
Practice Address - Street 2:SUITE 274
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339
Practice Address - Country:US
Practice Address - Phone:281-348-3320
Practice Address - Fax:281-348-3303
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7338101Y00000X
TX1694106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist