Provider Demographics
NPI:1194410860
Name:BOYER, ELIZABETH L (LMFT - ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:L
Last Name:BOYER
Suffix:
Gender:F
Credentials:LMFT - ASSOCIATE
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:LEE
Other - Last Name:BOYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT - ASSOCIATE
Mailing Address - Street 1:5900 BALCONES DR STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4298
Mailing Address - Country:US
Mailing Address - Phone:325-261-8360
Mailing Address - Fax:
Practice Address - Street 1:5060 COLLIN MCKINNEY PKWY STE 101
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-1720
Practice Address - Country:US
Practice Address - Phone:325-261-8360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205007106H00000X
WAMG61533981106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist