Individual provider · Type 1 NPI

Ometris Elaine King, DOCTORATE

Professional Counselor · Phoenix, AZ

NPI number 1558547729 Active

Practice location

1717 W Northern Ave Ste 101
Phoenix, AZ 85021-5400

Mailing address

5045 W Baseline Rd # 105-179
Laveen, AZ 85339-7392

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X11910 (AZ)

Professional Counselor: Definition to come...

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About NPI 1558547729

Ometris Elaine King, DOCTORATE's National Provider Identifier is 1558547729, issued on Jan 17, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 24, 2026.