Ms Tiant Shanta Ellison, is a
Counselor based in Nw Haven, Connecticut. Ms Tiant Shanta Ellison is licensed to practice in Connecticut (license number 247087391) and her current practice location is
93 Edwards St., Nw Haven, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 777-8648.
NPI number for Ms Tiant Shanta Ellison is 1922419894 and her current mailing address is 199 Valley St, New Haven, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922419894.
Healthcare Provider's Profile
| Full Name | Ms Tiant Shanta Ellison |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 93 Edwards St., Nw Haven, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922419894
- Provider Enumeration Date: 05/14/2014
- Last Update Date: 05/14/2014
Medical Identifiers
Medical identifiers for Ms Tiant Shanta Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922419894 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 247087391 (Connecticut) | 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. Ms Tiant Shanta Ellison 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 |
|---|
Ms Tiant Shanta Ellison,
199 Valley St,
New Haven, CT 06515-1213
Ph: (203) 215-9101 | Ms Tiant Shanta Ellison,
93 Edwards St.,
Nw Haven, CT 06511
Ph: (203) 777-8648 |
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