| Ellis Therapeutic Services | |
|
16116 Inverrary Ln Bloomington IL 61705-5580 | |
| (309) 830-3968 | |
| Not Available |
| Full Name | Ellis Therapeutic Services |
|---|---|
| Speciality | Counselor |
| Location | 16116 Inverrary Ln, Bloomington, Illinois |
| Authorized Official Name and Position | Thelma Carpenter-ellis (CEO/OWNER) |
| Authorized Official Contact | 3098303968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Therapeutic Services 16116 Inverrary Ln Bloomington IL 61705-5580 Ph: (309) 830-3968 | Ellis Therapeutic Services 16116 Inverrary Ln Bloomington IL 61705-5580 Ph: (309) 830-3968 |
| NPI Number | 1609453307 |
|---|---|
| Provider Enumeration Date | 03/27/2021 |
| Last Update Date | 03/27/2021 |
| Certification Date | 03/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609453307 | NPI | - | NPPES |
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