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General NPI Number Information
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NPI Number | 1063204394
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Entity Type | Individual
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Provider Name | ELIZABETH HABYL LPC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 37303 HARVEST AVE
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City | AVON
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State | OH
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Zip | 44011-2803
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Country | US
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Telephone | 440-847-8505
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Fax | 440-866-6610
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Provider Business Mailing Address
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Address Line | 37775 STONEY LAKE DR
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44039-5100
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Country | US
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Telephone | 216-647-3879
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.2507022
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License Number State | OH
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