MEDICARE: ELIZABETH RYAN DUKE 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	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	2998	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235327560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH RYAN DUKE LPC

Provider Business Mailing Address
First Line	:	4359 MAPLEWOOD DR
Second Line	:
City	:	TRUSSVILLE
State	:	AL
Zip	:	35173-1571
Country	:	US
Telephone Number	:	205-420-1934
Fax Number	:

Provider Business Practice Location Address
First Line	:	2016 STONEGATE TRL STE 112
Second Line	:
City	:	VESTAVIA HLS
State	:	AL
Zip	:	35242-2249
Country	:	US
Telephone Number	:	205-440-6292
Fax Number	:

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

Provider Enumeration Date	:	10/11/2007
Last Update Date	:	10/13/2025

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Directions to “ ELIZABETH RYAN DUKE LPC” Practice Location

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