Provider Demographics
NPI:1902020829
Name:THARP, ELIZABETH MARIE (NCC, LCPC, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MARIE
Last Name:THARP
Suffix:
Gender:F
Credentials:NCC, LCPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7733 ARBOR RIDGE DR.
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630
Mailing Address - Country:US
Mailing Address - Phone:812-518-4141
Mailing Address - Fax:812-518-4141
Practice Address - Street 1:7733 ARBOR RIDGE DR.
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630
Practice Address - Country:US
Practice Address - Phone:618-384-9140
Practice Address - Fax:812-518-4141
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-002105101Y00000X, 101YM0800X
IN39002097A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health