Individual provider · Type 1 NPI

Mona Swafford Ellis, LCDC, CHW

Addiction (Substance Use Disorder) Counselor · Houston, TX

NPI number 1912289174 Active

Practice location

507 N Sam Houston Pkwy E, Suite 270
Houston, TX 77060-4021

Fax (800) 434-4305

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000XNone listed
Private Vehicle 347C00000X06046953 (TX)
Community Health Worker 172V00000X1944 (TX)
Health Educator 174H00000X1944 (TX)
Community/Behavioral Health Agency 251S00000XNone listed
Counselor 101Y00000X13157 (TX)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13157 (TX)
Mental Health Counselor 101YM0800XNone listed
Pastoral Counselor 101YP1600XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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

5 other providers at this address

Other addiction (substance use disorder) counselor providers in Houston

See all in Houston →

About NPI 1912289174

Mona Swafford Ellis, LCDC, CHW's National Provider Identifier is 1912289174, issued on Sep 14, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Houston, TX. The record was last updated on Oct 1, 2015.