Healthcare Provider Details

I. General information

NPI: 1710644562
Provider Name (Legal Business Name): ELIZABETH CAPOVERDE LMHC, LPC, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 E SHEA BLVD STE 188
PHOENIX AZ
85028-3354
US

IV. Provider business mailing address

17041 W MANCHESTER DR
SURPRISE AZ
85374-1817
US

V. Phone/Fax

Practice location:
  • Phone: 602-633-5474
  • Fax:
Mailing address:
  • Phone: 401-808-7010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDP00762
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-23684
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC01639
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: