| Ellis Psychotherapy, LLC | |
|
611 E Grand Ave Ste 1d Beloit WI 53511-6399 | |
| (608) 751-0565 | |
| Not Available |
| Full Name | Ellis Psychotherapy, LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 611 E Grand Ave Ste 1d, Beloit, Wisconsin |
| Authorized Official Name and Position | Dana M Ellis (OWNER/ THERAPIST) |
| Authorized Official Contact | 6087510565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Psychotherapy, LLC 611 E Grand Ave Ste 1d Beloit WI 53511-6399 Ph: (608) 751-0565 | Ellis Psychotherapy, LLC 611 E Grand Ave Ste 1d Beloit WI 53511-6399 Ph: (608) 751-0565 |
| NPI Number | 1982527800 |
|---|---|
| Provider Enumeration Date | 07/30/2026 |
| Last Update Date | 07/30/2026 |
| Certification Date | 07/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982527800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
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