Individual provider · Type 1 NPI

Summer Angel Ellis

Addiction (Substance Use Disorder) Counselor · Warren, OH

NPI number 1649747411 Active

Practice location

1705 Woodland St NE
Warren, OH 44483-5348

Fax (330) 469-6779

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1649747411

Summer Angel Ellis's National Provider Identifier is 1649747411, issued on Oct 30, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Warren, OH. The record was last updated on Apr 17, 2026.