Provider Demographics
NPI:1346393295
Name:BIGHAM, ELIZABETH FOX (LPC, LCAS)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:FOX
Last Name:BIGHAM
Suffix:
Gender:F
Credentials:LPC, LCAS
Other - Prefix:MRS
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, LCAS
Mailing Address - Street 1:254 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-9688
Mailing Address - Country:US
Mailing Address - Phone:888-315-2880
Mailing Address - Fax:877-346-1089
Practice Address - Street 1:254 CHURCH ST
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-9688
Practice Address - Country:US
Practice Address - Phone:888-315-2880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6790101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103816Medicaid