Individual
ELLIE BREEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 TRACERY OAKS DR APT 4205, LEXINGTON, KY 40514-8312
(513) 287-9272
Mailing address
2200 TRACERY OAKS DR APT 4205, LEXINGTON, KY 40514-8312
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
304426
KY
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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