Whitehead, Elizabeth

Whitehead, Elizabeth is an sole proprietor health care provider with primary practice located at 1323 Ammon Park Dr , Ammon ID 83406-4591. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Whitehead, Elizabeth can be contacted via phone (208) 932-8350.

Contact Information

Primary practice address
1323 Ammon Park Dr Ammon ID 83406-4591
Fax: (208) 938-2330
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC-5751 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-5070 Idaho

Profile Details

NPI number 1033469572
LBN Legal business name Whitehead, Elizabeth
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2012
Last updated Jun 30th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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