Provider Demographics
NPI:1972191799
Name:PAIS, ELIZABETH RAE FRANCIS (LCSWA)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:RAE FRANCIS
Last Name:PAIS
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 GREENSBORO STREET EXT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-1969
Mailing Address - Country:US
Mailing Address - Phone:336-543-0374
Mailing Address - Fax:
Practice Address - Street 1:264 GREENSBORO STREET EXT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27295-1969
Practice Address - Country:US
Practice Address - Phone:336-236-7347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP01418151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical