Provider Demographics
NPI:1144986308
Name:ALHADEF, ELISE (FDN-P, CFNC)
Entity type:Individual
Prefix:
First Name:ELISE
Middle Name:
Last Name:ALHADEF
Suffix:
Gender:F
Credentials:FDN-P, CFNC
Other - Prefix:
Other - First Name:ELISE
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FDN-P, CFNC
Mailing Address - Street 1:28 PRISTINE POND DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1935
Mailing Address - Country:US
Mailing Address - Phone:214-532-8000
Mailing Address - Fax:
Practice Address - Street 1:28 PRISTINE POND DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1935
Practice Address - Country:US
Practice Address - Phone:214-532-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174H00000X, 171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth Educator