Healthcare Provider Details

I. General information

NPI: 1376674515
Provider Name (Legal Business Name): ELIZABETH D OWENS LMFT 50926
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9117 N 181ST AVENUE UNIT 26
SUN CITY WEST AZ
85344
US

IV. Provider business mailing address

PO BOX 5936
SUN CITY WEST AZ
85376-5936
US

V. Phone/Fax

Practice location:
  • Phone: 818-378-0815
  • Fax:
Mailing address:
  • Phone: 818-378-0815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15491
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number50926
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: