Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Elizabeth Ray Glaze, LPC

Individual provider Professional Counselor · NPI 1790887206

Mrs. Elizabeth Ray Glaze, LPC is a Mental Health Counselor in Martinez, Georgia. Qualified in 1999, 27 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
27
Licensed in
GA
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1105 Furys Ln Ste D
Martinez, GA 30907-8238
Phone: (706) 288-5082
Fax: (706) 863-0941
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC003774 (GA)

Record details

NPI number1790887206
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedSeptember 4, 2006
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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