Individual
RAVEN KETURAH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3525 RESOURCE DRIVE ROOM C47, RANDALLSTOWN, MD 21133
(410) 655-7655
(410) 655-3941
Mailing address
10400 RIDGELAND ROAD STE 1, COCKEYSVILLE, MD 21030
(410) 628-6120
(410) 628-9825
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1921
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251690
COMPSYCH
—
01
—
64558301
CAREFIRST MD
—
01
—
R5830050
CAREFIRST EHMSI
—
Enumeration date
10/02/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us