Individual provider · Type 1 NPI

Angela Lynn Ellis

Counselor · Meridian, ID

NPI number 1114806262 Active

Practice location

1548 W Cayuse Creek Dr Ste 100
Meridian, ID 83646-4795

Call (208) 600-2072 Map

Mailing address

770 W Tanzanite Dr
Kuna, ID 83634-5635

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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.

6 other providers at this address

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About NPI 1114806262

Angela Lynn Ellis's National Provider Identifier is 1114806262, issued on Sep 1, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Meridian, ID. The record was last updated on Sep 1, 2025.