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Individual
DR. LINDA PETTIS ELLIS
Active
Individual
DR. LINDA PETTIS ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, NCC, LPC-S
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10523
TX
172V00000X
Community Health Worker
24468
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218552202
—
TX
Enumeration date
09/02/2010
Last updated
06/29/2026
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