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NPI Code Detail

MEDICARE: ELIZABETH CAPOVERDE LMHC, LPC, MA

MEDICARE: ELIZABETH CAPOVERDE LMHC, LPC, MA
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
1101YM0800XMental Health CounselorLPC-23684AZ
2101YM0800XMental Health CounselorMHC01639RI
3101YA0400XAddiction (Substance Use Disorder) CounselorCDP00762RI

General Provider Information

NPI Number : 1710644562
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH CAPOVERDE LMHC, LPC, MA
Provider Business Mailing Address
First Line : 17041 W MANCHESTER DR
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-1817
Country : US
Telephone Number : 401-808-7010
Fax Number :
Provider Business Practice Location Address
First Line : 3420 E SHEA BLVD STE 188
Second Line :
City : PHOENIX
State : AZ
Zip : 85028-3354
Country : US
Telephone Number : 602-633-5474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2021
Last Update Date : 02/02/2026

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