Provider Demographics
NPI:1699213975
Name:HEINZ, ELIZABETH (LPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:HEINZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11673
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-0012
Mailing Address - Country:US
Mailing Address - Phone:602-456-2707
Mailing Address - Fax:
Practice Address - Street 1:4955 S ALMA SCHOOL RD
Practice Address - Street 2:SUITE 10
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-5638
Practice Address - Country:US
Practice Address - Phone:602-456-2707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-16524101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional