Organization
ELLIS PSYCHIATRY, LLC
Active
Organization
ELLIS PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANI ELLIS PMHNP-BC (NURSE PRACTITIONER, OWNER)
(423) 915-6284
Entity
Organization
Contact information
Practice address
1880 N EASTMAN RD STE 130, KINGSPORT, TN 37664-2385
(423) 915-6765
(205) 880-9514
Mailing address
3833 CIMARRON DR, KINGSPORT, TN 37664-3917
(423) 915-6284
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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