Provider Demographics
NPI:1689911703
Name:FINK, ELYSSA (LCSW)
Entity Type:Individual
Prefix:
First Name:ELYSSA
Middle Name:
Last Name:FINK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 WESTHEIMER RD
Mailing Address - Street 2:APT 429
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1560
Mailing Address - Country:US
Mailing Address - Phone:713-628-5566
Mailing Address - Fax:
Practice Address - Street 1:730 N POST OAK RD
Practice Address - Street 2:SUITE 301
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-3842
Practice Address - Country:US
Practice Address - Phone:713-628-5566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX570941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical