Organization
AMANDA ELLIS,LLC
Active
Organization
AMANDA ELLIS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ELLIS LICSW (OWNER)
(651) 217-8600
Entity
Organization
Contact information
Practice address
2960 SNELLING AVE N STE 210, ROSEVILLE, MN 55113-2458
(651) 217-8600
Mailing address
2960 SNELLING AVE N STE 210, ROSEVILLE, MN 55113-2458
(651) 217-8600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW
MN
Other
Enumeration date
06/18/2017
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up