1952968901 NPI number — ELIZABETH HUGHES WELDER LPC

Table of content: ELIZABETH HUGHES WELDER LPC (NPI 1952968901)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952968901 NPI number — ELIZABETH HUGHES WELDER LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WELDER
Provider First Name:
ELIZABETH
Provider Middle Name:
HUGHES
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WELDER
Provider Other First Name:
ELIZA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1952968901
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6502 NURSERY DR. SUITE
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
VICTORIA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
361-575-0611
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6502 NURSERY DR. SUITE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
VICTORIA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-575-0611
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/24/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  78279 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)