Provider Demographics
NPI:1568643138
Name:WAHBE, ELIZABETH (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:WAHBE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MIRABAI
Other - Middle Name:
Other - Last Name:WAHBE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:616 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225
Mailing Address - Country:US
Mailing Address - Phone:360-647-1056
Mailing Address - Fax:360-647-3689
Practice Address - Street 1:12 BELLWETHER WAY
Practice Address - Street 2:SUITE 220
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225
Practice Address - Country:US
Practice Address - Phone:360-647-1056
Practice Address - Fax:360-647-3689
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004283101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health