Provider Demographics
NPI:1639185663
Name:ENGELHARD, GESSLYN (LPC)
Entity Type:Individual
Prefix:
First Name:GESSLYN
Middle Name:
Last Name:ENGELHARD
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 1:18100 UPPER BAY RD
Mailing Address - Street 2:SUITE 116
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3548
Mailing Address - Country:US
Mailing Address - Phone:281-308-1520
Mailing Address - Fax:281-240-6481
Practice Address - Street 1:18100 UPPER BAY RD
Practice Address - Street 2:SUITE 116
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3548
Practice Address - Country:US
Practice Address - Phone:281-308-1520
Practice Address - Fax:281-240-6481
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12112101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3970LCOtherBC/BS