Provider Demographics
NPI:1982398327
Name:ADKINS, JOHVANNA ELISE (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:JOHVANNA
Middle Name:ELISE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 941163
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-8163
Mailing Address - Country:US
Mailing Address - Phone:713-498-2987
Mailing Address - Fax:
Practice Address - Street 1:315 ADDICKS HOWELL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2348
Practice Address - Country:US
Practice Address - Phone:713-498-2987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89627390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program