Provider Demographics
NPI:1205060530
Name:ABAD, ELIZABETH (MED,LPC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:ABAD
Suffix:
Gender:F
Credentials:MED,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 S CAGE BLVD
Mailing Address - Street 2:SUITE # 8
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-4824
Mailing Address - Country:US
Mailing Address - Phone:956-279-5887
Mailing Address - Fax:
Practice Address - Street 1:219 S CAGE BLVD
Practice Address - Street 2:SUITE # 8
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-4824
Practice Address - Country:US
Practice Address - Phone:956-279-5887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63801101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health