MEDICARE: MRS. ELIZABETH SARA DUNGAN HADGRAFT LMFT, LPC

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	L480	AL
2	101YP2500X	Professional Counselor	4266	AL

General Provider Information

NPI Number	:	1194339267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH SARA DUNGAN HADGRAFT LMFT, LPC

Provider Business Mailing Address
First Line	:	1736 OXMOOR RD STE 208
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-4053
Country	:	US
Telephone Number	:	205-538-3978
Fax Number	:

Provider Business Practice Location Address
First Line	:	2917 CENTRAL AVE STE 305
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-2576
Country	:	US
Telephone Number	:	205-538-3978
Fax Number	:

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

Provider Enumeration Date	:	09/04/2020
Last Update Date	:	01/24/2024

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