Healthcare Provider Details

I. General information

NPI: 1992616114
Provider Name (Legal Business Name): ELIZABETH HULME LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH JANE BEGLE

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1590 N JEFFERSON HWY
MONTICELLO FL
32344-5577
US

IV. Provider business mailing address

1590 N JEFFERSON HWY
MONTICELLO FL
32344-5577
US

V. Phone/Fax

Practice location:
  • Phone: 850-935-3637
  • Fax:
Mailing address:
  • Phone: 850-427-7132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27266
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: