Provider Demographics
NPI:1366018236
Name:CAPSHAW, ELIZABETH (MFTC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:CAPSHAW
Suffix:
Gender:F
Credentials:MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 S FLOWER CIR APT A
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-5285
Mailing Address - Country:US
Mailing Address - Phone:970-901-2620
Mailing Address - Fax:
Practice Address - Street 1:1250 S FLOWER CIR APT A
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-5285
Practice Address - Country:US
Practice Address - Phone:970-901-2620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014144101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health