# CENTER FOR EXCELLENCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** C. Rick Ellis, Ed.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033393798
- **Authorized official:** MR. CARL RICHARD ELLIS ED.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (757) 640-1882

## Contact information

- **Practice address:** 4101 GRANBY ST, SUITE 301, NORFOLK, VA 23504-1117
- **Practice address phone:** (757) 640-1882
- **Practice address fax:** (757) 640-0253
- **Mailing address:** 4101 GRANBY ST, SUITE 301, NORFOLK, VA 23504-1117
- **Mailing address phone:** (757) 640-1882
- **Mailing address fax:** (757) 640-0253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 0810001913 | VA | Yes |

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 12/18/2007