Individual provider · Type 1 NPI

Elizabeth S. Kiebzak, LCSW, CAP

Addiction (Substance Use Disorder) Counselor · Gulfport, FL

NPI number 1750468096 Active

Practice location

5122 Gulfport Blvd S
Gulfport, FL 33707-4922

Mailing address

925 Freemont St S
Gulfport, FL 33707-2446

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3017 (FL)
Mental Health Counselor 101YM0800XSW7488 (FL)

Addiction (Substance Use Disorder) Counselor: Definition to come...

About NPI 1750468096

Elizabeth S. Kiebzak, LCSW, CAP's National Provider Identifier is 1750468096, issued on Nov 1, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gulfport, FL. The record was last updated on Sep 11, 2025.