Provider Demographics
NPI:1356113500
Name:ELIZABETH KERN MENTAL HEALTH COUNSELING, LMHC, PLLC
Entity type:Organization
Organization Name:ELIZABETH KERN MENTAL HEALTH COUNSELING, LMHC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KERN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:716-616-0014
Mailing Address - Street 1:332 LAMARCK DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4854
Mailing Address - Country:US
Mailing Address - Phone:716-208-7159
Mailing Address - Fax:
Practice Address - Street 1:646 N FRENCH RD STE 7
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14228-2100
Practice Address - Country:US
Practice Address - Phone:716-616-0014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)