Provider Demographics
NPI:1649576620
Name:GATLIN, JANIE S (M ED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANIE
Middle Name:S
Last Name:GATLIN
Suffix:
Gender:F
Credentials:M ED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 S DAIRY ASHFORD ST
Mailing Address - Street 2:SUITE 452
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-3854
Mailing Address - Country:US
Mailing Address - Phone:713-857-8577
Mailing Address - Fax:
Practice Address - Street 1:1500 S DAIRY ASHFORD ST
Practice Address - Street 2:SUITE 452
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-3854
Practice Address - Country:US
Practice Address - Phone:713-857-8577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19663101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional