| Ellis Counseling Llc | |
|
1820 Glynwood Dr Ste B Prattville AL 36066-5533 | |
| (334) 358-2455 | |
| (334) 491-2456 |
| Full Name | Ellis Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1820 Glynwood Dr Ste B, Prattville, Alabama |
| Authorized Official Name and Position | Martha Bruner Ellis (OWNER) |
| Authorized Official Contact | 3343582455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Counseling Llc 1820 Glynwood Dr Ste B Prattville AL 36066-5533 Ph: (334) 358-2455 | Ellis Counseling Llc 1820 Glynwood Dr Ste B Prattville AL 36066-5533 Ph: (334) 358-2455 |
| NPI Number | 1649544453 |
|---|---|
| Provider Enumeration Date | 02/27/2012 |
| Last Update Date | 02/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649544453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1835 (Alabama) | Primary |
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