Basic Information
Provider Information
NPI: 1598865917
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PFILE
FirstName: ELIZABETH
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4220 N 20TH AVE
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850155101
CountryCode: US
TelephoneNumber: 6022797655
FaxNumber: 6022538891
Practice Location
Address1: 2033 N 7TH ST
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850062102
CountryCode: US
TelephoneNumber: 6022579314
FaxNumber: 6022548824
Other Information
ProviderEnumerationDate: 09/25/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XLCSW-10611AZY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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