Provider Demographics
NPI:1316323934
Name:IVIE, ELIZABETH REBECCA (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:REBECCA
Last Name:IVIE
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 HUGULEY RD
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36804-1892
Mailing Address - Country:US
Mailing Address - Phone:502-619-8874
Mailing Address - Fax:
Practice Address - Street 1:3365 SKYWAY DR STE 103
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-6485
Practice Address - Country:US
Practice Address - Phone:334-521-2711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor