Provider Demographics
NPI:1215330246
Name:COUTS, ELISABETH (LPCC-S)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:
Last Name:COUTS
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 HOWE AVE # 1149
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-4955
Mailing Address - Country:US
Mailing Address - Phone:330-617-5005
Mailing Address - Fax:330-617-5639
Practice Address - Street 1:2992 KEW DR
Practice Address - Street 2:
Practice Address - City:COVENTRY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:44319-1711
Practice Address - Country:US
Practice Address - Phone:330-617-5005
Practice Address - Fax:133-061-7563
Is Sole Proprietor?:No
Enumeration Date:2014-10-05
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.130693101YP2500X
OHE.1800708-SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional