Provider Demographics
NPI:1063605558
Name:INMAN, ELIZABETH E (MDIV, THM, LPC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:E
Last Name:INMAN
Suffix:
Gender:F
Credentials:MDIV, THM, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5003 BASS CHAPEL RD
Mailing Address - Street 2:2A
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-9304
Mailing Address - Country:US
Mailing Address - Phone:336-508-4383
Mailing Address - Fax:
Practice Address - Street 1:6309 W FRIENDLY AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4011
Practice Address - Country:US
Practice Address - Phone:336-508-4383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC64101YP1600X
NC6589101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral