MS. ELIZABETH MAVRELIS LCSW NPI 1467520387

NPI Information

NPI: 1467520387
Provider Name: MS. ELIZABETH MAVRELIS, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1500 S LAKE PARK AVE
#542
HOBART, IN
ZIP 46342
Phone: (219) 730-1515
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MS. Elizabeth Mavrelis, LCSW is a mental health counselor in Hobart, IN. MS. Elizabeth Mavrelis, LCSW NPI is 1467520387. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 S LAKE PARK AVE
#542
HOBART, IN
ZIP 46342-638
Phone: (219) 730-1515

The NPI 1467520387 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 11/30/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	34004357A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	177870	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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