| Doctor Name: | MRS. ELIZABETH SOUCY MENDES |
| NPI Number: | 1083813133 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 008462 |
| Business Practice Address: | 54 North St Willimantic, CT - 062262528 |
| Business Phone Number: | 8604500151 |
| Business Fax Number: | 8604507152 |
| Mailing Address: | 18 Patriot Rd, WINDHAM |
| State: | CT |
| Postal Code: | 062801424 |
| Phone Number: | 8602086681 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2007 |
| NPI Last Update Date: | 11/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 008462 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |