Provider Demographics
NPI:1275542458
Name:NEPTUNE, NANCY JO (LPC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JO
Last Name:NEPTUNE
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 1:4200 WESTHEIMER RD
Mailing Address - Street 2:SUTIE 290
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-4415
Mailing Address - Country:US
Mailing Address - Phone:713-622-1922
Mailing Address - Fax:713-688-4999
Practice Address - Street 1:4200 WESTHEIMER RD
Practice Address - Street 2:SUTIE 290
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-4415
Practice Address - Country:US
Practice Address - Phone:713-622-1922
Practice Address - Fax:713-688-4999
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10628101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health