Provider Demographics
NPI:1174010367
Name:TSAHIRIDIS, ELIZABETH DEMETRA (MSMHC MSED PLPC CIT)
Entity Type:Individual
Prefix:PROF
First Name:ELIZABETH
Middle Name:DEMETRA
Last Name:TSAHIRIDIS
Suffix:
Gender:F
Credentials:MSMHC MSED PLPC CIT
Other - Prefix:PROF
Other - First Name:LIZA
Other - Middle Name:DEMETRA
Other - Last Name:TSAHIRIDIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSMHC MSED PLPC CIT
Mailing Address - Street 1:126 COMFORT LANE
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616
Mailing Address - Country:US
Mailing Address - Phone:417-598-2656
Mailing Address - Fax:
Practice Address - Street 1:3101 N GRETNA RD
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-7243
Practice Address - Country:US
Practice Address - Phone:417-598-2656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-13
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst