Provider Demographics
NPI:1003032020
Name:BECK, ELIZABETH ANNE (LPC CAC III)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNE
Last Name:BECK
Suffix:
Gender:F
Credentials:LPC CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2790 N ACADEMY BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-5329
Mailing Address - Country:US
Mailing Address - Phone:719-596-1530
Mailing Address - Fax:719-559-1130
Practice Address - Street 1:2790 N ACADEMY BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-5329
Practice Address - Country:US
Practice Address - Phone:719-596-1530
Practice Address - Fax:719-559-1130
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO316101Y00000X
CO2784101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)