Organization
ELLIS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA BRUNER ELLIS LPC (OWNER)
(334) 358-2455
Entity
Organization
Contact information
Practice address
1820 GLYNWOOD DR STE B, PRATTVILLE, AL 36066-5533
(334) 358-2455
(334) 491-2456
Mailing address
1820 GLYNWOOD DR STE B, PRATTVILLE, AL 36066-5533
(334) 358-2455
(334) 491-2456
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1835
AL
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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