Provider Demographics
NPI:1972738086
Name:MEWHINNEY, ELIZABETH V (LPC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:V
Last Name:MEWHINNEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:MEWHINNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:409 S GRAHAM ST
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-4425
Mailing Address - Country:US
Mailing Address - Phone:254-592-4244
Mailing Address - Fax:
Practice Address - Street 1:409 S GRAHAM ST
Practice Address - Street 2:
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-4425
Practice Address - Country:US
Practice Address - Phone:254-592-4244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14178101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional