MEDICARE: ELIZABETH CATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	A240	AL
2	101YP2500X	Professional Counselor	05064	AL

General Provider Information

NPI Number	:	1013533660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH CATES

Provider Business Mailing Address
First Line	:	1785 TALIAFERRO TRL STE 7
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-7758
Country	:	US
Telephone Number	:	334-603-1210
Fax Number	:

Provider Business Practice Location Address
First Line	:	10441 DUNCANNON TRL
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-1200
Country	:	US
Telephone Number	:	334-603-1210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2020
Last Update Date	:	11/07/2023

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