Individual provider · Type 1 NPI
Keiah Ellis, PhD
Pastoral Counselor · Shreveport, LA
NPI number
1114428091
Active
Practice location
7832 Oak Creek Trl
Shreveport, LA 71129-8811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | None listed |
Pastoral Counselor: Definition to come...
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About NPI 1114428091
Keiah Ellis, PhD's National Provider Identifier is 1114428091, issued on Feb 26, 2018. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Shreveport, LA. The record was last updated on Feb 26, 2018.