Provider Demographics
NPI:1114142452
Name:LINCK, JANE MASSEY (MED,LPC)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:MASSEY
Last Name:LINCK
Suffix:
Gender:F
Credentials:MED,LPC
Other - Prefix:MRS
Other - First Name:JANE
Other - Middle Name:MASSEY
Other - Last Name:LINCK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, LPC
Mailing Address - Street 1:8588 KATY FWY STE 350
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1853
Mailing Address - Country:US
Mailing Address - Phone:713-898-0790
Mailing Address - Fax:713-426-3102
Practice Address - Street 1:9801 WESTHEIMER RD
Practice Address - Street 2:SUITE 302
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3950
Practice Address - Country:US
Practice Address - Phone:713-917-6747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9851101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health