Provider Demographics
NPI:1578748976
Name:WOLD, ELIZABETH MARIE (LCMHC, LMHC, LPC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MARIE
Last Name:WOLD
Suffix:
Gender:F
Credentials:LCMHC, LMHC, LPC
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:MARIE
Other - Last Name:PAULOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:319 SAW GRASS LOOP
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70435-7007
Mailing Address - Country:US
Mailing Address - Phone:985-200-5590
Mailing Address - Fax:
Practice Address - Street 1:319 SAW GRASS LOOP
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70435-7007
Practice Address - Country:US
Practice Address - Phone:985-200-5590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6765101YM0800X
LA7239101YM0800X
IA098681101YM0800X
NH5230101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0760706-00Medicaid
FL7678444-00Medicaid