Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ELLIS COUNSELING SERVICES PLLC
Active
Organization
ELLIS COUNSELING SERVICES PLLC
Active
Other names
Revive, Renew and Restore Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MAZIE L. ELLIS LCSWA (LICENSED CLINICAL SOCIAL WORKER)
(910) 391-4520
Entity
Organization
Contact information
Practice address
3605 CAMSON RD, FAYETTEVILLE, NC 28306-3743
(910) 391-4520
Mailing address
3605 CAMSON RD, FAYETTEVILLE, NC 28306-3743
(910) 391-4520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/30/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up