MEDICARE: MS. ELIZABETH D. HUEY LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH 3120	FL

General Provider Information

NPI Number	:	1215992946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH D. HUEY LMHC

Provider Business Mailing Address
First Line	:	1131 NEW PARKVIEW PL
Second Line	:
City	:	HAVERHILL
State	:	FL
Zip	:	33417-5877
Country	:	US
Telephone Number	:	561-684-5805
Fax Number	:	561-495-7975

Provider Business Practice Location Address
First Line	:	1131 NEW PARKVIEW PL
Second Line	:
City	:	HAVERHILL
State	:	FL
Zip	:	33417-5877
Country	:	US
Telephone Number	:	561-684-5805
Fax Number	:	561-495-7975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	07/08/2007

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