ELIZABETH ROSE CHARLES LMHC NPI 1295977023

NPI Information

NPI: 1295977023
Provider Name: ELIZABETH ROSE CHARLES, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
9910 GUIDY LN
PENSACOLA, FL
ZIP 32514
Phone: (850) 462-1611
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Elizabeth Rose Charles, LMHC is a mental health counselor in Pensacola, FL. Elizabeth Rose Charles, LMHC NPI is 1295977023. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9910 GUIDY LN
PENSACOLA, FL
ZIP 32514-670
Phone: (850) 462-1611
Fax: (850) 462-1612

The enumeration date for this NPI number is 3/25/2009 and was last updated on 10/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP1600X	Counselor	Pastoral			No
2	106H00000X	Marriage & Family Therapist				No
3	101YM0800X	Counselor	Mental Health		MASSACHUSETTS	No
4	101YM0800X	Counselor	Mental Health	MH12182	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010365700	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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