Individual provider · Type 1 NPI
Tyler Joesph Ellison, LMHC
Mental Health Counselor · Bloomington, IN
NPI number
1821854035
Active
Practice location
200 S Madison St # B113
Bloomington, IN 47404-5170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 39004755A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1821854035
Tyler Joesph Ellison, LMHC's National Provider Identifier is 1821854035, issued on Feb 26, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IN. The record was last updated on Feb 26, 2024.