Provider Demographics
NPI:1538325949
Name:GASTON, ELAINE DENISE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:DENISE
Last Name:GASTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 WILCREST DRIVE
Mailing Address - Street 2:PMB 1061
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-1348
Mailing Address - Country:US
Mailing Address - Phone:626-644-0660
Mailing Address - Fax:
Practice Address - Street 1:712 WILCREST DR # 1061
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-1348
Practice Address - Country:US
Practice Address - Phone:626-644-0660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49800106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist