Individual provider · Type 1 NPI

Evyn Ellis, LPC

Professional Counselor · Fort Worth, TX

NPI number 1821352022 Active

Practice location

3840 Hulen St
Fort Worth, TX 76107-7277

Call (817) 569-4600 Map

Mailing address

PO Box 2603
Fort Worth, TX 76113-2603

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X11299 (TX)
Professional Counselor Primary 101YP2500X72335 (TX)

Professional Counselor: Definition to come...

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About NPI 1821352022

Evyn Ellis, LPC's National Provider Identifier is 1821352022, issued on Jul 2, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 14, 2017.