Individual
MRS. TERRI ELLZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., M.A., MED
Contact information
Practice address
2779 N 55TH ST, MILWAUKEE, WI 53210-1558
(414) 344-3406
(414) 344-0107
Mailing address
2779 N 55TH ST, MILWAUKEE, WI 53210-1558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15749-132
WI
101YM0800X
Mental Health Counselor
Primary
8032-125
WI
101YP2500X
Professional Counselor
8032-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100018150
—
WI
Enumeration date
09/13/2011
Last updated
10/27/2025
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