Individual provider · Type 1 NPI
Kimberly R. Ellis, LAC
Counselor · Hot Springs, AR
NPI number
1104066299
Active
Practice location
307 Carpenter Dam Rd Ste B
Hot Springs, AR 71901-8282
Fax (888) 816-7916
Mailing address
201 S Rose St
Sheridan, AR 72150-2451
Other practice locations
- 201 S Rose St, Sheridan, AR 72150-2451 · (870) 917-2171
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | A0909102 (AR) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Another provider at this address
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About NPI 1104066299
Kimberly R. Ellis, LAC's National Provider Identifier is 1104066299, issued on Mar 2, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hot Springs, AR. The record was last updated on Jul 19, 2018.