Provider Demographics
NPI:1477808905
Name:WEINBAUM, ELIZABETH MCNABB (LPC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MCNABB
Last Name:WEINBAUM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:190 LIME QUARRY RD
Mailing Address - Street 2:SUITE 116
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-8962
Mailing Address - Country:US
Mailing Address - Phone:256-461-8895
Mailing Address - Fax:256-461-8897
Practice Address - Street 1:190 LIME QUARRY RD
Practice Address - Street 2:SUITE 116
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8962
Practice Address - Country:US
Practice Address - Phone:256-461-8895
Practice Address - Fax:256-461-8897
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL817101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor