Provider Demographics
NPI:1174734206
Name:COSGRAY, ELIZABETH ANN (LPC # 10857)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:COSGRAY
Suffix:
Gender:F
Credentials:LPC # 10857
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 OAK POINT DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-7815
Mailing Address - Country:US
Mailing Address - Phone:972-496-0382
Mailing Address - Fax:972-692-4575
Practice Address - Street 1:600 S JUPITER RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-4756
Practice Address - Country:US
Practice Address - Phone:972-231-2951
Practice Address - Fax:972-692-4575
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC 10857101Y00000X
TXLPC #10857101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health