| Ellis Counseling | |
|
1820 Glynwood Dr Ste B Prattville AL 36066-5533 | |
| (334) 358-2455 | |
| Not Available |
| Full Name | Ellis Counseling |
|---|---|
| Speciality | Counselor |
| Location | 1820 Glynwood Dr Ste B, Prattville, Alabama |
| Authorized Official Name and Position | James Edwin Thomas (OWNER) |
| Authorized Official Contact | 3343582455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Counseling 1820 Glynwood Dr Ste B Prattville AL 36066-5533 Ph: (334) 358-3455 | Ellis Counseling 1820 Glynwood Dr Ste B Prattville AL 36066-5533 Ph: (334) 358-2455 |
| NPI Number | 1588394415 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588394415 | NPI | - | NPPES |
| 1053875062 | Other | AL | BLUE CROSS BLUE SHIELD, AMERICAN BEHAVIORAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
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