| Doctor Name: | MRS. LINDA ELLS |
| NPI Number: | 1265837322 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0763 |
| Business Practice Address: | 1221 S Gear Ave Mercy Plaza Suite 251 West Burlington, IA - 526551679 |
| Business Phone Number: | 3197683731 |
| Business Fax Number: | 3197683712 |
| Mailing Address: | 1221 Gear Avenue, Mercy Plaza Suite 251 WEST BURLINGTON |
| State: | IA |
| Postal Code: | 52655 |
| Phone Number: | 3197683731 |
| Fax Number: | 3197683712 |
| NPI Enumeration Date: | 10/30/2014 |
| NPI Last Update Date: | 10/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |