Provider Demographics
NPI:1609426402
Name:DRAKONAKIS, ELENE CONSTANTINA (LCSW)
Entity type:Individual
Prefix:
First Name:ELENE
Middle Name:CONSTANTINA
Last Name:DRAKONAKIS
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 1:613 W 31ST 1/2 ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2209
Mailing Address - Country:US
Mailing Address - Phone:512-297-6481
Mailing Address - Fax:
Practice Address - Street 1:613 W 31ST 1/2 ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2209
Practice Address - Country:US
Practice Address - Phone:512-297-6481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX301621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical