| Doctor Name: | MRS. BILLIE SUE ELLINGSON |
| NPI Number: | 1033216940 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMFT |
| License Number: | 1073 |
| Business Practice Address: | 3106 Village Green Dr Moorhead, MN - 565605410 |
| Business Phone Number: | 7012617428 |
| Business Fax Number: | |
| Mailing Address: | 3106 Village Green Dr, MOORHEAD |
| State: | MN |
| Postal Code: | 565605410 |
| Phone Number: | 7012617428 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1073 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |