Individual
CHERYL DENISE ELLIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
511 HARRINGTON HWY, EDEN, NC 27288-7547
(336) 634-3250
Mailing address
17 MARY SCOTT PL, GREENSBORO, NC 27410-9735
(336) 848-1299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10115
NC
101YP2500X
Professional Counselor
10115
NC
Other
Enumeration date
04/02/2014
Last updated
03/09/2025
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