# ELLISON DAVIS COUNSELING AND WELLNESS CENTER, PLLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770333627
- **Authorized official:** SHANTE F CLARK-DAVIS LPC (OWNER/ THERAPIST)
- **Authorized official phone:** (281) 740-7245

## Contact information

- **Practice address:** 1127 AUBURN VIEW LN, FRESNO, TX 77545-2049
- **Practice address phone:** (281) 740-7245
- **Mailing address:** 6140 HIGHWAY 6 \# 1318, MISSOURI CITY, TX 77459-3802
- **Mailing address phone:** (281) 740-7245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2024
- **Last updated:** 03/25/2024