Provider Demographics
NPI:1679363766
Name:HENTZ, ELIZABETH (LMFTA, CFLE-P)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:HENTZ
Suffix:
Gender:F
Credentials:LMFTA, CFLE-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 HELEN KELLER BLVD APT 8205
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404-5569
Mailing Address - Country:US
Mailing Address - Phone:205-919-5549
Mailing Address - Fax:
Practice Address - Street 1:730 ENERGY CENTER BLVD STE 1402C
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-5814
Practice Address - Country:US
Practice Address - Phone:205-919-5549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALA319106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist