Provider Demographics
NPI:1144436692
Name:FLOOD, ELLEN E (LCSW)
Entity type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:E
Last Name:FLOOD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4035 MISCHIRE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-4023
Mailing Address - Country:US
Mailing Address - Phone:713-481-1649
Mailing Address - Fax:
Practice Address - Street 1:MICHAEL DEBAKEY VAMC
Practice Address - Street 2:2002 HOLCOMBE BLVD
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX148411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical