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Individual

ELBISA LINDOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA,LCMHC

Contact information

Practice address
1205 S MAIN ST, BURLINGTON, NC 27215-5762
(336) 684-9951
Mailing address
1612 COVINGTON HEIGHTS CIR, WINSTON SALEM, NC 27103-2081

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17239
NC
101YM0800X
Mental Health Counselor
Primary
A17239
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17239
LCMHC
NC
01
A17239
LCMHCA
NC
Enumeration date
01/11/2022
Last updated
02/03/2026
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