Provider Demographics
NPI:1811512692
Name:KENDALL, ELIZABETH HOPE (LPC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HOPE
Last Name:KENDALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:HOPE
Other - Last Name:BONNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 N LITCHFIELD RD STE 210
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-1367
Mailing Address - Country:US
Mailing Address - Phone:301-643-4528
Mailing Address - Fax:
Practice Address - Street 1:250 N LITCHFIELD RD STE 210
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-1367
Practice Address - Country:US
Practice Address - Phone:301-643-4528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-21923101YP2500X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician