Provider Demographics
NPI:1043470008
Name:ALLEN, ELIZABETH GAYLE (PHD, LPC, NCC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:GAYLE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:GAYLE
Other - Last Name:SOULES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8408 DAVIS BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-8685
Mailing Address - Country:US
Mailing Address - Phone:817-765-5664
Mailing Address - Fax:678-880-1788
Practice Address - Street 1:8408 DAVIS BLVD STE 240
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-8685
Practice Address - Country:US
Practice Address - Phone:817-765-5664
Practice Address - Fax:678-880-1788
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLPC4681101YP2500X
GALPC005016101YP2500X
TX68283101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional