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NPI Code Detail

MEDICARE: ELIZABETH SCOTT LMFT

MEDICARE:   ELIZABETH  SCOTT  LMFT
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
1101YM0800XMental Health Counselor
2106H00000XMarriage & Family Therapist140010CA

General Provider Information

NPI Number : 1285386011
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SCOTT LMFT
Provider Business Mailing Address
First Line : 4607 LAKEVIEW CANYON RD STE 271
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-4028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5743 CORSA AVE STE 221
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91362-6451
Country : US
Telephone Number : 805-825-0010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2022
Last Update Date : 06/15/2023

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