Provider Demographics
NPI:1720045784
Name:ESTES, JOSIE ELIZABETH (LPC)
Entity Type:Individual
Prefix:MS
First Name:JOSIE
Middle Name:ELIZABETH
Last Name:ESTES
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 1:7525 JOHN T WHITE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76120
Mailing Address - Country:US
Mailing Address - Phone:817-429-4769
Mailing Address - Fax:817-457-7906
Practice Address - Street 1:7525 JOHN T WHITE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76120
Practice Address - Country:US
Practice Address - Phone:817-429-4769
Practice Address - Fax:817-457-7906
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC145622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry