Provider Demographics
NPI:1912463217
Name:HIGHTOWER, ELIZABETH ANN (LAC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 W ELLIOT RD STE 110
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-1311
Mailing Address - Country:US
Mailing Address - Phone:623-335-2007
Mailing Address - Fax:833-704-1908
Practice Address - Street 1:51 W ELLIOT RD STE 110
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-1311
Practice Address - Country:US
Practice Address - Phone:623-335-2007
Practice Address - Fax:833-704-1908
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-12
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC19586101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty