Provider Demographics
NPI:1003129727
Name:STRUIK, ELIZABETH ALICE (LMSW - CLINICAL)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ALICE
Last Name:STRUIK
Suffix:
Gender:F
Credentials:LMSW - CLINICAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 HOPE ST
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-2623
Mailing Address - Country:US
Mailing Address - Phone:616-706-8393
Mailing Address - Fax:
Practice Address - Street 1:1316 PATTON AVE
Practice Address - Street 2:D
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2666
Practice Address - Country:US
Practice Address - Phone:828-225-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010990471041C0700X
NCP005874104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker