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

TaxonomyCodeLicense
Counselor Primary 101Y00000XA0909102 (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.

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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.