Provider Demographics
NPI:1447955265
Name:CARBONE, ELIZABETH (LPCMH, NCC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:CARBONE
Suffix:
Gender:F
Credentials:LPCMH, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 LESLEY LN
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-3341
Mailing Address - Country:US
Mailing Address - Phone:201-981-8049
Mailing Address - Fax:
Practice Address - Street 1:300 CREEK VIEW RD # 100
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-8546
Practice Address - Country:US
Practice Address - Phone:302-307-3702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0011383101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health