Provider Demographics
NPI:1528535945
Name:CULBERTSON, ELIZABETH GREER I (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:GREER
Last Name:CULBERTSON
Suffix:I
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 ROUND ROCK WEST DR STE 501
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5032
Mailing Address - Country:US
Mailing Address - Phone:501-554-1176
Mailing Address - Fax:
Practice Address - Street 1:595 ROUND ROCK WEST DR STE 501
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5032
Practice Address - Country:US
Practice Address - Phone:501-554-1176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58614101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health