Provider Demographics
NPI:1952968901
Name:WELDER, ELIZABETH HUGHES (LPC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HUGHES
Last Name:WELDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ELIZA
Other - Middle Name:
Other - Last Name:WELDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6502 NURSERY DR. SUITE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904
Mailing Address - Country:US
Mailing Address - Phone:361-575-0611
Mailing Address - Fax:
Practice Address - Street 1:6502 NURSERY DR. SUITE
Practice Address - Street 2:SUITE 100
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904
Practice Address - Country:US
Practice Address - Phone:361-575-0611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-24
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78279101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional