Provider Demographics
NPI:1215466545
Name:HOWARD, ELIZABETH M (LPC, LCADC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:HOWARD
Suffix:
Gender:
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:MANNS HOWARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:103 3RD ST
Mailing Address - Street 2:
Mailing Address - City:KEYPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07735-1814
Mailing Address - Country:US
Mailing Address - Phone:732-598-2891
Mailing Address - Fax:
Practice Address - Street 1:721 N BEERS ST STE 2B
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1500
Practice Address - Country:US
Practice Address - Phone:732-898-3991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-09
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00250600101YA0400X
NJ37PC00574600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)