Provider Demographics
NPI:1194015115
Name:MUNIZ, ELIZABETH (LMHC, RPT-S)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:MUNIZ
Suffix:
Gender:F
Credentials:LMHC, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2734 OAK RIDGE CT STE 404
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9369
Mailing Address - Country:US
Mailing Address - Phone:239-963-4367
Mailing Address - Fax:239-963-4367
Practice Address - Street 1:2734 OAK RIDGE CT STE 404
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-9369
Practice Address - Country:US
Practice Address - Phone:239-963-4367
Practice Address - Fax:239-963-4367
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11994101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health