Provider Demographics
NPI:1558624361
Name:LACASTO, ELIZABETH (LMFT)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:LACASTO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 HAISLEY CT
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-6392
Mailing Address - Country:US
Mailing Address - Phone:805-746-2133
Mailing Address - Fax:
Practice Address - Street 1:148 N SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-2712
Practice Address - Country:US
Practice Address - Phone:805-330-1202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor