Provider Demographics
NPI:1952476434
Name:YORK, ELIZABETH GLYNNE (MED LPC LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:GLYNNE
Last Name:YORK
Suffix:
Gender:F
Credentials:MED LPC LMFT
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:S
Other - Last Name:YORK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED LPC LMFT
Mailing Address - Street 1:11999 KATY FWY
Mailing Address - Street 2:SUITE 490
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1608
Mailing Address - Country:US
Mailing Address - Phone:713-365-0700
Mailing Address - Fax:713-827-1080
Practice Address - Street 1:11999 KATY FWY
Practice Address - Street 2:SUITE 490
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1608
Practice Address - Country:US
Practice Address - Phone:713-365-0700
Practice Address - Fax:713-827-1080
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC8327101YP2500X
TXLMFT4164106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist