Provider Demographics
NPI:1346312550
Name:CHAIKIND, ELLIE (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:ELLIE
Middle Name:
Last Name:CHAIKIND
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 S GESSNER RD
Mailing Address - Street 2:SUITE 314
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3200
Mailing Address - Country:US
Mailing Address - Phone:713-977-7033
Mailing Address - Fax:713-977-7957
Practice Address - Street 1:2600 S GESSNER RD
Practice Address - Street 2:SUITE 314
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3200
Practice Address - Country:US
Practice Address - Phone:713-977-7033
Practice Address - Fax:713-977-7957
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX445101YP2500X
TX001308-039985106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist