Lisa Elizabeth Elsbecker | Phoenix, AZ • PECOS Search

Lisa Elizabeth Elsbecker

Counselor

Behavioral Health & Social Service Providers

528 W Lewis Ave, Phoenix, AZ 85003-1017

PECOS Enrollment

Based on the most recent information from CMS, provider Lisa Elizabeth Elsbecker does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1942965611
Provider Type
Individual
Full Name
Elsbecker, Lisa Elizabeth
Credential
LAC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/7/2021
Last Updated
11/7/2021

Contact Information

Practice Location

528 W Lewis Ave, Phoenix, AZ 85003-1017

Unlisted Fax

Mailing Location

528 W Lewis Ave, Phoenix, AZ 85003-1017

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License LAC-17889 Arizona