Provider Demographics
NPI:1073781712
Name:STOLTE, ELIZABETH EDITH (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:EDITH
Last Name:STOLTE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 NW CENTRAL DR STE 401-G
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-2039
Mailing Address - Country:US
Mailing Address - Phone:361-210-8621
Mailing Address - Fax:
Practice Address - Street 1:5700 NW CENTRAL DR STE 401-G
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-2039
Practice Address - Country:US
Practice Address - Phone:361-210-8621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52547101YM0800X, 1041C0700X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical