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NPI 1710644562

NPI 1710644562 : ELIZABETH CAPOVERDE LMHC, LPC, MA : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1710644562
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH CAPOVERDE LMHC, LPC, MA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/29/2021
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    Last Update Date     |    02/02/2026
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Provider Practice Location Address
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    Address Line         |    3420 E SHEA BLVD STE 188 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85028-3354
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    Country              |    US
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    Telephone            |    602-633-5474
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17041 W MANCHESTER DR 
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    City                 |    SURPRISE
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    State                |    AZ
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    Zip                  |    85374-1817
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    Country              |    US
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    Telephone            |    401-808-7010
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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       |    LPC-23684
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    MHC01639
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    License Number State |    RI
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Taxonomy #3
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    CDP00762
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    License Number State |    RI
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