Individual provider · Type 1 NPI

Mattison Lanier Ellis, LPC

Professional Counselor · Southaven, MS

NPI number 1851461917 Active

Practice location

8829 Centre St, Suite 105
Southaven, MS 38671-2610

Fax (662) 280-6775

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1112 (MS)

Professional Counselor: Definition to come...

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About NPI 1851461917

Mattison Lanier Ellis, LPC's National Provider Identifier is 1851461917, issued on Nov 8, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southaven, MS. The record was last updated on Jul 8, 2007.