Individual provider · Type 1 NPI

Amanda Ellis, LCPC

Mental Health Counselor · Carterville, IL

NPI number 1215455472 Active

Practice location

1006 S Division St
Carterville, IL 62918-1539

Call (618) 519-9200 Map

Fax (618) 985-3774

Mailing address

109 California St, PO Box 577
Carterville, IL 62918-0577

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.013503 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1215455472

Amanda Ellis, LCPC's National Provider Identifier is 1215455472, issued on Sep 7, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carterville, IL. The record was last updated on Feb 20, 2025.