| Doctor Name: | MS. ELISABETH J WHEELER |
| NPI Number: | 1063707909 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | 5802 |
| Business Practice Address: | 3 Hill Rd. Stockbridge, MA - 01262 |
| Business Phone Number: | 4132985368 |
| Business Fax Number: | 4132985368 |
| Mailing Address: | Po Box 696, STOCKBRIDGE |
| State: | MA |
| Postal Code: | 012620696 |
| Phone Number: | 4132985368 |
| Fax Number: | 4132985368 |
| NPI Enumeration Date: | 06/17/2011 |
| NPI Last Update Date: | 06/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 5802 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |