Provider Demographics
NPI:1477342939
Name:ELIZABETH HASLAM COUNSELING LLC
Entity type:Organization
Organization Name:ELIZABETH HASLAM COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:HASLAM
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:512-790-3252
Mailing Address - Street 1:700 NARRAGANSETT PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-4326
Mailing Address - Country:US
Mailing Address - Phone:512-790-3252
Mailing Address - Fax:
Practice Address - Street 1:700 NARRAGANSETT PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-4326
Practice Address - Country:US
Practice Address - Phone:512-790-3252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty