Individual
LATOYA DYAN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
515 RED FOX CT, HENDERSONVILLE, NC 28792-9253
(210) 264-9948
Mailing address
515 RED FOX CT, HENDERSONVILLE, NC 28792-9253
(210) 264-9948
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3518216
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-3518216
NATIONAL BOARD FOR HEALTH & WELLNESS COACHING
NC
Enumeration date
07/14/2022
Last updated
07/14/2022
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