Elizabeth Anne Ewing, PLPC

Individual provider Active NPI Mental Health Counselor · Lafayette, LA

NPI 1992552434 · NPPES record last updated May 2, 2024

Key facts

NPI
1992552434
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
9797 (LA)
Practice address
113 Flagg PL
Lafayette, LA 70508-7025
Phone
(337) 573-5884
NPI assigned
May 2, 2024
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

State licenses

LicenseStateTypeSpecialty
9797LAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9797 LA Yes

Addresses

Primary practice location

113 Flagg PL
Lafayette, LA 70508-7025

Mailing address

113 Flagg PL
Lafayette, LA 70508-7025
Phone (337) 573-5884

Other providers in Lafayette, LA

All providers in Lafayette, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.