Provider Demographics
NPI:1891221990
Name:PLESNARSKI, ELIZABETH (LPC-INTERN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:PLESNARSKI
Suffix:
Gender:F
Credentials:LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 WILLOW STONE ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207-7469
Mailing Address - Country:US
Mailing Address - Phone:214-886-1530
Mailing Address - Fax:
Practice Address - Street 1:1212 COIT RD STE 105
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7740
Practice Address - Country:US
Practice Address - Phone:469-708-9021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76945101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health