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Organization

MIDDLEWAY SYSTEMIC SOLUTIONS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONELLA ELLIS MS, LMFT (OWNER/CLINICAL PSYCHOTHERAPIST)
(919) 971-9317
Entity
Organization

Contact information

Practice address
8404 SIX FORKS RD, 201, RALEIGH, NC 27615-3072
(919) 971-9317
(919) 710-8228
Mailing address
7413 SIX FORKS RD, #208, RALEIGH, NC 27615-6164
(919) 971-9317
(919) 710-8228

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1292
NC
106H00000X
Marriage & Family Therapist
Primary
1292
NC

Other

Enumeration date
02/01/2011
Last updated
01/03/2013
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