Provider Demographics
NPI:1437826674
Name:LOMBARDO, ELIZABETH (MS, LCMHCA)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:LOMBARDO
Suffix:
Gender:F
Credentials:MS, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 LANCASTER HWY
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:SC
Mailing Address - Zip Code:29706-1658
Mailing Address - Country:US
Mailing Address - Phone:803-209-4403
Mailing Address - Fax:
Practice Address - Street 1:9723 NORTHCROSS CENTER CT STE L
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-7301
Practice Address - Country:US
Practice Address - Phone:704-948-5009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health