Provider Demographics
NPI:1740458595
Name:GEORGE, ELIZABETH DENT (LCPC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DENT
Last Name:GEORGE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6811 SHAWNEE MISSION PKWY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66202-4031
Mailing Address - Country:US
Mailing Address - Phone:913-236-9620
Mailing Address - Fax:913-236-9988
Practice Address - Street 1:6811 SHAWNEE MISSION PKWY
Practice Address - Street 2:SUITE 203
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66202-4031
Practice Address - Country:US
Practice Address - Phone:913-236-9620
Practice Address - Fax:913-236-9988
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCPC 730101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional