Provider Demographics
NPI:1164893319
Name:RIMER, ELIZABETH AVERY (MA, LMFT, LMHC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:AVERY
Last Name:RIMER
Suffix:
Gender:F
Credentials:MA, LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:486 HURON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-2128
Mailing Address - Country:US
Mailing Address - Phone:617-661-7946
Mailing Address - Fax:
Practice Address - Street 1:486 HURON AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-2128
Practice Address - Country:US
Practice Address - Phone:617-661-7946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3361101YM0800X
MA883106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist