Provider Demographics
NPI:1275690687
Name:MCCAIN, ELAINE (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:
Last Name:MCCAIN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:CLAIRE
Other - Middle Name:ELAINE
Other - Last Name:MCCAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED
Mailing Address - Street 1:1954 N MACGREGOR WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-4813
Mailing Address - Country:US
Mailing Address - Phone:719-326-0168
Mailing Address - Fax:
Practice Address - Street 1:211 E PARKWOOD AVE
Practice Address - Street 2:SUITE 108-B
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5174
Practice Address - Country:US
Practice Address - Phone:281-482-6164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20143101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health