Organization
ELLIS PROFESSIONAL COUNSELING SERVICES, LLC
Active
Other names
ALICE ELLIS, LPCC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICE A ELLIS LPCC (AUTHORIZED AGENT)
(270) 401-5450
Entity
Organization
Contact information
Practice address
3651 SHEPHERDSVILLE RD, ELIZABETHTOWN, KY 42701-9511
(270) 401-5450
(270) 360-0767
Mailing address
3651 SHEPHERDSVILLE RD, ELIZABETHTOWN, KY 42701-9511
(270) 401-5450
(270) 360-0767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCPCC00216428
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100355870
—
KY
Enumeration date
09/08/2015
Last updated
09/08/2015
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