Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Estelle Clark, LCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1528725660

Ellen Estelle Clark, LCDC is an Undefined Non-Physician Type (Specify) in Houston, Texas. Qualified in 2009, 17 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
17
Licensed in
TX
In the registry since
2021

Practice location Address checks out

1700 Post Oak Blvd Ste 600
Houston, TX 77056-3973
Phone: (800) 892-2695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 12293 (TX)

Record details

NPI number1528725660
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDC
Sole proprietorYes
NPI enumeratedNovember 23, 2021
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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