Doctor Name: | DANIELLE CHRISTINE ELLIS |
NPI Number: | 1053507376 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 63315 |
Business Practice Address: | 6300 West Loop S Ste 575 Bellaire, TX - 774012913 |
Business Phone Number: | 7136869194 |
Business Fax Number: | |
Mailing Address: | 541 Fm 1488 Rd Apt 223, CONROE |
State: | TX |
Postal Code: | 773846003 |
Phone Number: | 7135940071 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2007 |
NPI Last Update Date: | 05/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 63315 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |