Individual
MRS. MARGARET PENDLEY ELTZROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
1202 W BUENA VISTA ROAD, SUITE 204, EVANSVILLE, IN 47710-5185
(812) 429-0399
(812) 429-0708
Mailing address
1202 W BUENA VISTA RD, SUITE 204, EVANSVILLE, IN 47710-5185
(812) 429-0399
(812) 429-0708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
34001189A
IN
106H00000X
Marriage & Family Therapist
Primary
35000576A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000331532
ANTHEM
IN
Enumeration date
03/14/2007
Last updated
09/11/2025
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