Provider Demographics
NPI:1265395438
Name:VAN WART, ELLEN BRIGHT (LPC)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:BRIGHT
Last Name:VAN WART
Suffix:
Gender:X
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12403 RIP VAN WINKLE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4947
Mailing Address - Country:US
Mailing Address - Phone:832-779-7515
Mailing Address - Fax:
Practice Address - Street 1:1011 HIGHWAY 6 S STE 325
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-1077
Practice Address - Country:US
Practice Address - Phone:832-779-7515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92145101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health