Provider Demographics
NPI:1184865461
Name:BRANGAN, ELIZABETH PATRICIA (PASTORAL COUNSELOR &)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:PATRICIA
Last Name:BRANGAN
Suffix:
Gender:F
Credentials:PASTORAL COUNSELOR &
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 MASONIC DR.
Mailing Address - Street 2:DRS. BLD, STE 103 CHRISTUS ST. FRANCES CABRINI HOSPITAL
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-9971
Mailing Address - Country:US
Mailing Address - Phone:318-449-2577
Mailing Address - Fax:318-449-2576
Practice Address - Street 1:3330 MASONIC DR.
Practice Address - Street 2:DRS. BLD, STE 103 CHRISTUS ST. FRANCES CABRINI HOSPITAL
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-9971
Practice Address - Country:US
Practice Address - Phone:318-449-2577
Practice Address - Fax:318-449-2576
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4084101YM0800X, 101YP2500X, 101Y00000X, 101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral