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General NPI Number Information
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NPI Number | 1144703547
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE MOFFITT LMHC, LPC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 793 E 1055TH RD
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City | BALDWIN CITY
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State | KS
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Zip | 66006-7287
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Country | US
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Telephone | 913-424-6230
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Fax |
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Provider Business Mailing Address
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Address Line | 793 E 1055TH RD
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City | BALDWIN CITY
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State | KS
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Zip | 66006-7287
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Country | US
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Telephone | 913-424-6230
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 03854
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LYH61179320
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 03854
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License Number State | KS
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