Organization
ELLIS PSYCHOTHERAPY, TRAINING & CONSULTATION
Active
Organization
ELLIS PSYCHOTHERAPY, TRAINING & CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVADRA ELLIS LCSW (OWNER/CLINICAL DIRECTOR)
(475) 441-4082
Entity
Organization
Contact information
Practice address
21 FARNHAM AVE APT 1, NEW HAVEN, CT 06515-1265
(475) 441-4082
Mailing address
33 DIXWELL AVE # 239, NEW HAVEN, CT 06511-3403
(475) 441-4082
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/20/2021
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