Provider Demographics
NPI:1952199846
Name:MCGAHA, ELIZABETH LORENE (LPC MHSP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LORENE
Last Name:MCGAHA
Suffix:
Gender:
Credentials:LPC MHSP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:LORENE
Other - Last Name:BOONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:231 HIGHWAY 104 N
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:TN
Mailing Address - Zip Code:38321-3429
Mailing Address - Country:US
Mailing Address - Phone:731-345-9933
Mailing Address - Fax:
Practice Address - Street 1:102 ENOCH BLVD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-2229
Practice Address - Country:US
Practice Address - Phone:731-400-4091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7571101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional