Individual provider · Type 1 NPI

Tina Ellis

Counselor · Magnolia, AR

NPI number 1124392592 Active

Practice location

229 A St
Magnolia, AR 71753-3653

Call (870) 367-2141 Map

Fax (870) 234-9481

Mailing address

602 N Walton Blvd
Bentonville, AR 72712-4576

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.

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About NPI 1124392592

Tina Ellis's National Provider Identifier is 1124392592, issued on Mar 2, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Magnolia, AR. The record was last updated on Mar 2, 2012.