Provider Demographics
NPI:1922085323
Name:AUSTIN, CONSTANCE K (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:K
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 REGENTS PARK DR.
Mailing Address - Street 2:SUITE 240
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2541
Mailing Address - Country:US
Mailing Address - Phone:713-222-2525
Mailing Address - Fax:281-480-4815
Practice Address - Street 1:1335 REGENTS PARK DR.
Practice Address - Street 2:SUITE 240
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2541
Practice Address - Country:US
Practice Address - Phone:713-222-2525
Practice Address - Fax:281-480-4815
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12463101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0955213-03Medicaid
TX8798LCOtherBC/BS