Provider Demographics
NPI:1770660326
Name:DAHLMEIER, ELIZABETH (MA, LMFT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:DAHLMEIER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3112 CLEARWATER DR STE A
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-7187
Mailing Address - Country:US
Mailing Address - Phone:928-776-4612
Mailing Address - Fax:928-771-2437
Practice Address - Street 1:3112 CLEARWATER DR STE A
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-7187
Practice Address - Country:US
Practice Address - Phone:928-776-4612
Practice Address - Fax:928-771-1767
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT-0379106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
742665371OtherNPI
AZ402329Medicaid