Elizabeth Ann Mariwalla

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH24478 Issued in FL

Practice address

301 S Palmway Apt 3
Lake Worth, FL 33460-4673

Phone

(470) 880-3588

NPI assigned

Nov 6, 2023

Last updated

Nov 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1659144236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S PALMWAY APT 3",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604673",
            "telephone_number": "470-880-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S PALMWAY APT 3",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604673",
            "telephone_number": "470-880-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIWALLA",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH24478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lianely Marciante, ARNP
• Cassandra Rose Margosian
• Marie J Perry Kids Therapy Solutions
• Marigold Nursing, LLC
• Christine Marie Marino, LMHC
• Mark a Lieberfarb MD PA
• Mark E Hall D P M P a
• Marly Homecare Services LLC
• Vivian Esther Marrero Monteagudo
• Armando Marrero Penate

• Mental Health Counselor in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.