Provider Demographics
NPI:1770678278
Name:COUNCE, ELISKA DAVIS (NCC, LPC-S)
Entity Type:Individual
Prefix:
First Name:ELISKA
Middle Name:DAVIS
Last Name:COUNCE
Suffix:
Gender:F
Credentials:NCC, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 DOVE CRK
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-0334
Mailing Address - Country:US
Mailing Address - Phone:214-762-5617
Mailing Address - Fax:
Practice Address - Street 1:203 DOVE CRK
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-0334
Practice Address - Country:US
Practice Address - Phone:214-762-5617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18489101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health