| Organization Name: | LEAH A ELLIS, M.ED., LPC |
| NPI Number: | 1346600020 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEAH ANN ELLIS (MENTAL HEALTH THERAPIST) |
| Mailing Address: | 33082 Fm 1575 Los Fresnos |
| State: | TX US |
| Postal Code: | 785664169 |
| Phone Number: | 5127169245 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2016 |
| NPI Last Update Date: | 02/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 20201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |