Elizabeth Ann Abruzzese, LCPC
Individual provider Active NPI Mental Health Counselor · Clarksville, TN
NPI 1033734843 · NPPES record last updated Jun 8, 2020
Key facts
- NPI
- 1033734843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 180007456 (IL)
- Practice address
- 404 Carson Bailey CT
Clarksville, TN 37043-1543 - Phone
- (708) 721-7170
- NPI assigned
- Jun 8, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180007456 | IL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180007456 | IL | Yes |
Addresses
Primary practice location
404 Carson Bailey CT
Clarksville, TN 37043-1543
Mailing address
404 Carson Bailey CT
Clarksville, TN 37043-1543
Phone (708) 721-7170
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All providers in Clarksville, TN · Mental Health Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.