Provider Demographics
NPI:1184049256
Name:OWENS, ELIZABETH ANNETTE (NCC, LPC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANNETTE
Last Name:OWENS
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 SANTOS ST APT 4205
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210-1419
Mailing Address - Country:US
Mailing Address - Phone:210-557-8275
Mailing Address - Fax:
Practice Address - Street 1:7300 BLANCO RD STE 501
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4941
Practice Address - Country:US
Practice Address - Phone:210-446-8255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-26
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70544101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health