| Organization Name: | ELLISON COACHING AND COUNSELING, LLC |
| NPI Number: | 1003206020 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ADAIR LOUISE HASTY-VANNOY (OWNER / PROVIDER) |
| Mailing Address: | 12729 Se 171st Pl Renton |
| State: | WA US |
| Postal Code: | 980586103 |
| Phone Number: | 2068162706 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2015 |
| NPI Last Update Date: | 01/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 603 152 746 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |