Provider Demographics
NPI:1518301027
Name:EVANS, ELIZABETH M (LPC-A)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:EVANS
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 TEPTAL TER
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-5479
Mailing Address - Country:US
Mailing Address - Phone:828-488-3294
Mailing Address - Fax:
Practice Address - Street 1:100 TEPTAL TER
Practice Address - Street 2:
Practice Address - City:BRYSON CITY
Practice Address - State:NC
Practice Address - Zip Code:28713-5479
Practice Address - Country:US
Practice Address - Phone:828-488-3294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9625101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health