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NPI Code Detail

MEDICARE: ELIZABETH PIKE LPC, LMFTA

MEDICARE:   ELIZABETH  PIKE  LPC, LMFTA
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
1101YP2500XProfessional Counselor64777TX
2106H00000XMarriage & Family Therapist201352TX

General Provider Information

NPI Number : 1487963997
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH PIKE LPC, LMFTA
Provider Business Mailing Address
First Line : 222 LAS COLINAS BLVD W STE 1650
Second Line :
City : IRVING
State : TX
Zip : 75039-5436
Country : US
Telephone Number : 469-321-7424
Fax Number :
Provider Business Practice Location Address
First Line : 222 LAS COLINAS BLVD W STE 1650
Second Line :
City : IRVING
State : TX
Zip : 75039-5436
Country : US
Telephone Number : 469-321-7424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2010
Last Update Date : 09/30/2010

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Directions to “ ELIZABETH PIKE LPC, LMFTA” Practice Location

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