Provider Demographics
NPI:1699895821
Name:ATKINSON, ELIZABETH MARSHALL (LCMHC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MARSHALL
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:M
Other - Last Name:ATKINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:5 GALLENWOL CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-3610
Mailing Address - Country:US
Mailing Address - Phone:336-669-0146
Mailing Address - Fax:
Practice Address - Street 1:5 GALLENWOL CT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-3610
Practice Address - Country:US
Practice Address - Phone:336-669-0146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5170101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health