Elizalde, Loretta Martha

Elizalde, Loretta Martha is an sole proprietor health care provider with primary practice located at 130 Slade Ave Ste B , Pikesville MD 21208-4910. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Elizalde, Loretta Martha can be contacted via phone (410) 484-3892.

Contact Information

Primary practice address
130 Slade Ave Ste B Pikesville MD 21208-4910
Phone: (410) 484-3892
Fax: (410) 484-3924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LC2240 Maryland
Other Service Providers / Case Manager/Care Coordinator 171M00000X LC2240 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC2240 Maryland

Profile Details

NPI number 1134321391
LBN Legal business name Elizalde, Loretta Martha
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2007
Last updated Jun 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134321391 NPPES
Maryland Other LC2240 LCPC

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