Individual
MR. DARRELL LEMONT ELLIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADMINISTRATOR
Contact information
Practice address
43646 W YUCCA LN, MARICOPA, AZ 85138-2011
(520) 483-4219
Mailing address
43646 W YUCCA LN, MARICOPA, AZ 85138-2011
(520) 483-4219
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BHRF20103
AZ
Other
Enumeration date
09/18/2014
Last updated
12/06/2025
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