Healthcare Provider Details

I. General information

NPI: 1750844973
Provider Name (Legal Business Name): ELIZABETH CAULFIELD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2019
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4425 W AIRPORT FWY STE 111
IRVING TX
75062-5811
US

IV. Provider business mailing address

1116 CARVER LN
IRVING TX
75061-3909
US

V. Phone/Fax

Practice location:
  • Phone: 832-299-5963
  • Fax:
Mailing address:
  • Phone: 832-335-7977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number81260
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: