Provider Demographics
NPI:1538398185
Name:SHAPIRO, ELIZABETH MARY (LMHC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARY
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:MARY
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:149 PLEASANT ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4801
Mailing Address - Country:US
Mailing Address - Phone:978-222-9004
Mailing Address - Fax:
Practice Address - Street 1:149 PLEASANT ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-4801
Practice Address - Country:US
Practice Address - Phone:978-222-9004
Practice Address - Fax:978-746-9480
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-03
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3745101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional