Elizabeth S. Maddaford,LCSW,PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

29770 Issued in TX

Legal business name

ELIZABETH S. MADDAFORD,LCSW,PLLC

Doing business as

Green Light Counseling Center

Practice address

602 Strada Cir Ste 110
Mansfield, TX 76063-3201

Phone

(817) 842-9081

NPI assigned

Oct 19, 2011

Last updated

Oct 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Maddaford, LCSWNPI 1457538480

Title

Owner

Phone

(817) 842-9081

Specialties & licenses 1

Addresses

Other names 1

• Green Light Counseling Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Susan Maddaford, LCSW

  • Clinical Social Worker
  • Mansfield, TX
  • NPI 1457538480
  Authorized official Same address or phone
• Valerie Jean Martin, LCSW

  • Clinical Social Worker
  • Mansfield, TX
  • NPI 1568748028
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1730464090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SILVER ROSE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282886",
            "telephone_number": "181-769-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 STRADA CIR STE 110",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633201",
            "telephone_number": "817-842-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH S. MADDAFORD,LCSW,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "MADDAFORD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-842-9081",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "29770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Light Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doris Nwamaka Ejimadu
• Brittany Eleam
• Elite Healthcare
• Elite Healthcare of Mansfield
• Elite View Imaging, LLC
• Rachel Elliott
• Kimberly Y Ellis
• Olha Elorreaga, PA-C
• Todd Matthew Elsner, D.C.
• Elysian Eyecare PLLC (Unique Vision)

• Community/Behavioral Health Agency in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.