Provider Demographics
NPI:1033496864
Name:REED, ELIZABETH ANN LOUISE (MS, LMFT, LPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN LOUISE
Last Name:REED
Suffix:
Gender:F
Credentials:MS, LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1867 INDEPENDENCE SQ
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5172
Mailing Address - Country:US
Mailing Address - Phone:305-393-3109
Mailing Address - Fax:
Practice Address - Street 1:1867 INDEPENDENCE SQ
Practice Address - Street 2:SUITE 106
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-5172
Practice Address - Country:US
Practice Address - Phone:404-987-0060
Practice Address - Fax:770-559-5372
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist