Individual
TAYLOR ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3197
(620) 792-2544
Mailing address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3197
(620) 792-2544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC05318T
KS
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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