Provider Demographics
NPI:1356160782
Name:ELISABETH M COUTS LLC
Entity type:Organization
Organization Name:ELISABETH M COUTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:COUTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-617-5005
Mailing Address - Street 1:645 HOWE AVE # 1149
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-4955
Mailing Address - Country:US
Mailing Address - Phone:330-617-5005
Mailing Address - Fax:330-617-5639
Practice Address - Street 1:2992 KEW DR
Practice Address - Street 2:
Practice Address - City:COVENTRY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:44319-1711
Practice Address - Country:US
Practice Address - Phone:330-617-5005
Practice Address - Fax:330-617-5639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty