Provider Demographics
NPI:1346425345
Name:OCEAN, ELIZABETH E (LPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:E
Last Name:OCEAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 156
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-0156
Mailing Address - Country:US
Mailing Address - Phone:575-644-0479
Mailing Address - Fax:
Practice Address - Street 1:600 S MACARTHUR BLVD APT 713
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-6740
Practice Address - Country:US
Practice Address - Phone:575-644-0479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15519101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional