Individual ProviderElizabeth Ellen HolmbergSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2430 Estancia Blvd Ste 106, Clearwater, FL 33761-2607(651) 472-3019PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Ellen Holmberg does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:51 AM.Profile DetailsProvider ID1497342786Provider TypeIndividualFull NameHolmberg, Elizabeth EllenGenderFemaleSole ProprietorYesEnumeration Date12/21/2020Last Updated2/28/2023Contact InformationPractice LocationPractice Address2430 Estancia Blvd Ste 106, Clearwater, FL 33761-2607Phone(651) 472-3019FaxUnlisted FaxMailing LocationMailing Address8301 Solano Bay Loop Apt 1716, Tampa, FL 33635-9400Phone(651) 472-3019FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer