Provider Demographics
NPI:1518441583
Name:ELIZABETH SIMPSON PSYCHOTHERAPY, PLLC
Entity Type:Organization
Organization Name:ELIZABETH SIMPSON PSYCHOTHERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:H
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:231-497-9288
Mailing Address - Street 1:201 STATE ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CHARLEVOIX
Mailing Address - State:MI
Mailing Address - Zip Code:49720-1371
Mailing Address - Country:US
Mailing Address - Phone:231-497-9288
Mailing Address - Fax:231-308-5903
Practice Address - Street 1:201 STATE ST FL 2
Practice Address - Street 2:
Practice Address - City:CHARLEVOIX
Practice Address - State:MI
Practice Address - Zip Code:49720-1371
Practice Address - Country:US
Practice Address - Phone:231-497-9288
Practice Address - Fax:231-308-5903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-17
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty