Provider Demographics
NPI:1427158054
Name:FRIEMEL, ELIAZABETH A (LPC)
Entity type:Individual
Prefix:
First Name:ELIAZABETH
Middle Name:A
Last Name:FRIEMEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4655 S FM 1258
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79118-7219
Mailing Address - Country:US
Mailing Address - Phone:806-335-9138
Mailing Address - Fax:
Practice Address - Street 1:4655 S FM 1258
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79118-7219
Practice Address - Country:US
Practice Address - Phone:806-335-9138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC4027101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0261018-02Medicaid