Dawaune Latiefth Ellis, is a
Psychologist - Counseling based in Aurora, Colorado. Dawaune Latiefth Ellis is licensed to practice in * (Not Available) (license number ) and his current practice location is
2323 S Troy St, Aurora, Colorado. He can be reached at his office (for appointments etc.) via phone at
(720) 882-2421.
NPI number for Dawaune Latiefth Ellis is 1568992741 and his current mailing address is 2323 S Troy St Ste 209, Aurora, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568992741.
Healthcare Provider's Profile
| Full Name | Dawaune Latiefth Ellis |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Counseling |
|---|
| Location | 2323 S Troy St, Aurora, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1568992741
- Provider Enumeration Date: 06/19/2017
- Last Update Date: 08/09/2022
Medical Identifiers
Medical identifiers for Dawaune Latiefth Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568992741 | NPI | - | NPPES |
| 920653694 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dawaune Latiefth Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dawaune Latiefth Ellis,
2323 S Troy St Ste 209,
Aurora, CO 80014-1946
Ph: (303) 671-2480 | Dawaune Latiefth Ellis,
2323 S Troy St,
Aurora, CO 80014-1946
Ph: (720) 882-2421 |
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