Provider Demographics
NPI:1457485997
Name:HIBLER, ELIZABETH L (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:L
Last Name:HIBLER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:HIBLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:487 KIMBERLY AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2605
Mailing Address - Country:US
Mailing Address - Phone:828-707-6017
Mailing Address - Fax:
Practice Address - Street 1:542 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2826
Practice Address - Country:US
Practice Address - Phone:828-707-6017
Practice Address - Fax:828-277-6701
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7007101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1515UOtherBLUECROSS BLUESHIELD
NC6103970Medicaid