Provider Demographics
NPI:1891029500
Name:KUPFERMAN, ELIZABETH LOVE (RN, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LOVE
Last Name:KUPFERMAN
Suffix:
Gender:F
Credentials:RN, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8749 THE ESPLANADE
Mailing Address - Street 2:#18
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-7731
Mailing Address - Country:US
Mailing Address - Phone:407-506-6277
Mailing Address - Fax:
Practice Address - Street 1:7450 DR. PHILLIPS BLVD.
Practice Address - Street 2:SUITE 312
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819
Practice Address - Country:US
Practice Address - Phone:407-506-6277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-28
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 10047101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health