Provider Demographics
NPI:1285122705
Name:KROMHOUT, ELIZABETH MAY (LMFT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MAY
Last Name:KROMHOUT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5944 LUTHER LN STE 470
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-5942
Mailing Address - Country:US
Mailing Address - Phone:469-754-0040
Mailing Address - Fax:
Practice Address - Street 1:5944 LUTHER LN STE 740
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5974
Practice Address - Country:US
Practice Address - Phone:469-754-0040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203939106H00000X
CA92416106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist