Provider Demographics
NPI:1871816116
Name:ELIZENBERRY, LAUNIA (EDD)
Entity Type:Individual
Prefix:
First Name:LAUNIA
Middle Name:
Last Name:ELIZENBERRY
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:LAUNIA
Other - Middle Name:
Other - Last Name:JUERRIER-BEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1645 SUN CITY CENTER PLZ UNIT 6141
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33571-8047
Mailing Address - Country:US
Mailing Address - Phone:813-358-2010
Mailing Address - Fax:
Practice Address - Street 1:100 FRANDORSON CIR
Practice Address - Street 2:SUITE 104
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572
Practice Address - Country:US
Practice Address - Phone:813-358-2010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW96841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical