Organization
ELLIS THERAPY & CONSULTING, LLC
Active
Organization
ELLIS THERAPY & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE ANTHONY (OWNER/CLINICAL THERAPIST)
(314) 459-7313
Entity
Organization
Contact information
Practice address
7229 WOODSTEAD CT APT 5, SAINT LOUIS, MO 63121-2306
(314) 459-7313
Mailing address
7229 WOODSTEAD CT APT 5, SAINT LOUIS, MO 63121-2306
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2011013937
MO
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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