Provider Demographics
NPI:1629899471
Name:KARDAMIS, ELIZABETH (LPC, LPAT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:KARDAMIS
Suffix:
Gender:F
Credentials:LPC, LPAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33565 BALDWIN RD
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-4137
Mailing Address - Country:US
Mailing Address - Phone:216-650-8706
Mailing Address - Fax:
Practice Address - Street 1:46 RAVENNA ST STE A2
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-3058
Practice Address - Country:US
Practice Address - Phone:330-760-7890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health