Ravenel, Elizabeth Howe

Ravenel, Elizabeth Howe is an sole proprietor health care provider with primary practice located at 1512 Thunderbird Dr , South Lake Tahoe CA 96150-4955. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Ravenel, Elizabeth Howe can be contacted via phone (843) 860-0951.

Contact Information

Primary practice address
1512 Thunderbird Dr South Lake Tahoe CA 96150-4955
Phone: (843) 860-0951
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 104145 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 131814 California

Profile Details

NPI number 1720622475
LBN Legal business name Ravenel, Elizabeth Howe
Credentials CA LMFT 131814
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2019
Last updated Apr 27th, 2022 - about 4 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 1720622475 NPPES
California Other 01536011 MEDI-CAL

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