Individual
AMY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCAS
Contact information
Practice address
401 W BRISTOL ST, ELKHART, IN 46514-3019
(574) 400-7685
Mailing address
401 W BRISTOL ST, ELKHART, IN 46514-3019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88003097A
IN
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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