Provider Demographics
NPI:1578703567
Name:VENTURA, ELIZABETH MORE (MS, LPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MORE
Last Name:VENTURA
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 NANCY DR
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3203
Mailing Address - Country:US
Mailing Address - Phone:412-559-9152
Mailing Address - Fax:
Practice Address - Street 1:107 TREE LINE COURT
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:412-559-9152
Practice Address - Fax:412-246-5858
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2016-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005075101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional