Individual provider · Type 1 NPI

Mia Ellis, LCPC

Mental Health Counselor · Ellicott City, MD

NPI number 1164178588 Active

About NPI 1164178588

Mia Ellis, LCPC's National Provider Identifier is 1164178588, issued on Feb 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ellicott City, MD. The record was last updated on Oct 31, 2025.