# MONA SWAFFORD ELLIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912289174
- **Gender:** F
- **Credential:** LCDC, CHW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 13157 | TX | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 13157 | TX | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP1600X | Pastoral Counselor | — | TX | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 172A00000X | Driver | — | NULL | — |
| 172V00000X | Community Health Worker | 1944 | TX | — |
| 174H00000X | Health Educator | 1944 | TX | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 347C00000X | Private Vehicle | 06046953 | TX | — |

## Other

- **Enumeration date:** 09/14/2011
- **Last updated:** 10/01/2015