Provider Demographics
NPI:1518244433
Name:ELLISON, CLAIRE BOYCE (LPC-I)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:BOYCE
Last Name:ELLISON
Suffix:
Gender:F
Credentials:LPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12415 NOVA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-4823
Mailing Address - Country:US
Mailing Address - Phone:281-622-9884
Mailing Address - Fax:
Practice Address - Street 1:1529 LOMBARDY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-4528
Practice Address - Country:US
Practice Address - Phone:713-923-7938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-06
Last Update Date:2011-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65142101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health