Provider Demographics
NPI:1992284913
Name:LOPEZ, ELIZABETH (MS, LPC (TX), LMHC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:MS, LPC (TX), LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 GRANADA CIR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-2249
Mailing Address - Country:US
Mailing Address - Phone:956-414-7113
Mailing Address - Fax:
Practice Address - Street 1:1501 GRANADA CIR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-2249
Practice Address - Country:US
Practice Address - Phone:346-562-7374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-09
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60816143101YM0800X
TX74221101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALH60816143OtherLICENSED MENTAL HEALTH COUNSELOR
TX74221OtherLICENSED PROFESSIONAL COUNSELOR