Individual
COREY ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
141 PROVIDENCE RD STE 120, CHAPEL HILL, NC 27514-6200
(919) 213-1606
Mailing address
713 SPRING MEADOW DR, DURHAM, NC 27713-7178
(919) 213-1606
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
21009A
NC
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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