Doctor Name: | MS. ELLEN ELAINE ELLIOTT |
NPI Number: | 1902820293 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, LCAS, LPC |
License Number: | 4831 |
Business Practice Address: | 9 West Third Street Lexington, NC - 272923458 |
Business Phone Number: | 3362240863 |
Business Fax Number: | 3362381013 |
Mailing Address: | 9 West Thrid Street, LEXINGTON |
State: | NC |
Postal Code: | 272923458 |
Phone Number: | 3362240863 |
Fax Number: | 3362381013 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4831 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |