Provider Demographics
NPI:1104190958
Name:AMIN, JANKI (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANKI
Middle Name:
Last Name:AMIN
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 1:3715 WINDMILL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3212
Mailing Address - Country:US
Mailing Address - Phone:281-797-0617
Mailing Address - Fax:
Practice Address - Street 1:3715 WINDMILL CREEK DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3212
Practice Address - Country:US
Practice Address - Phone:281-797-0617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-25
Last Update Date:2012-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65219101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional