Elizabeth Thompson, MA, LPA
Individual provider Active NPI Mental Health Counselor · Wallis, TX
NPI 1457055162 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1457055162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 38763 (TX)
- Practice address
- 2548 Aylor Rd
Wallis, TX 77485-1204 - Phone
- (832) 407-2725
- NPI assigned
- Mar 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38763 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 38763 | TX | Yes |
Addresses
Primary practice location
2548 Aylor Rd
Wallis, TX 77485-1204
Mailing address
31602 Owen Ridge Cir
Hockley, TX 77447-2380
Other providers in Wallis, TX
- Melanie Renee Graybill
- Jennifer Lindley
- Gay Minks
- Prairie Harbor, LLC
- Noreen Marie Rojas
- Geralyn Tipton
- Rosemary Trevino
- Wallis Wellness PLLC
All providers in Wallis, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. 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.