Individual provider · Type 1 NPI
Ellie Breeze
Counselor · Lexington, KY
NPI number
1104763671
Active
Practice location
2200 Tracery Oaks Dr Apt 4205
Lexington, KY 40514-8312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 304426 (KY) |
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 1104763671
Ellie Breeze's National Provider Identifier is 1104763671, issued on May 1, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lexington, KY. The record was last updated on May 1, 2026.