Provider Demographics
NPI:1194339267
Name:HADGRAFT, ELIZABETH SARA DUNGAN (LMFT, LPC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:SARA DUNGAN
Last Name:HADGRAFT
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1736 OXMOOR RD STE 208
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4053
Mailing Address - Country:US
Mailing Address - Phone:205-538-3978
Mailing Address - Fax:
Practice Address - Street 1:2917 CENTRAL AVE STE 305
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-2576
Practice Address - Country:US
Practice Address - Phone:205-538-3978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-04
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL480106H00000X
AL4266101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist