ELIZABETH MARY COSTINE MA, LPC, NCC
NPI 1619902723
Counselor - Professional in Clayton, NC

Active since July 11, 2006
200 E MAIN ST, SUITE 201, CLAYTON, NC 27520(919) 523-2110(919) 465-3462 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elizabeth Mary Costine Ma, Lpc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH MARY COSTINE MA, LPC, NCC (NPI 1619902723) is an individual professional provider in Clayton, North Carolina, licensed in North Carolina (3495) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619902723
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELIZABETH MARY COSTINECredential: MA, LPC, NCC
Location Address200 E MAIN ST, SUITE 201Clayton, NC 27520-2472
Mailing Address309 Dansk CtCary, NC 27511-3195 · (919) 523-2110 · Fax (919) 465-3462
Fax(919) 465-3462
Sole ProprietorYes
Enumeration DateJuly 11, 2006
Last NPPES UpdateApril 10, 2012
NPI 1619902723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 3495
200 E MAIN ST, Clayton, NC 27520

Other Identifiers 1

Medicaid6102773NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
200 E MAIN ST, SUITE 201
CLAYTON, NC 27520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619902723, enumerated as an "individual" on July 11, 2006.

The provider is located at 200 E MAIN ST SUITE 201 CLAYTON, NC 27520 and the phone number is (919) 523-2110.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.