Provider Demographics
NPI:1043045164
Name:GREEFF, ELIZABETH CHARLEEN (LMHC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CHARLEEN
Last Name:GREEFF
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 PINE TREE CT
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-2919
Mailing Address - Country:US
Mailing Address - Phone:386-747-0103
Mailing Address - Fax:
Practice Address - Street 1:803 PINE TREE CT
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-2919
Practice Address - Country:US
Practice Address - Phone:386-747-0103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15563101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty