Individual
HANNAH ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 TOBERMORY LN, RALEIGH, NC 27606-4443
(919) 917-7681
(919) 917-7681
Mailing address
102 SOLITUDE WAY, CARY, NC 27518-8994
(919) 349-0003
(919) 917-7681
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273197674
—
NC
Enumeration date
08/28/2017
Last updated
06/16/2018
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