Individual provider · Type 1 NPI

Mikal Ellis

Professional Counselor · Philadelphia, PA

NPI number 1912605213 Active

Practice location

2551 N 16th St
Philadelphia, PA 19132-3908

Call (215) 800-8031 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1912605213

Mikal Ellis's National Provider Identifier is 1912605213, issued on Feb 16, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 16, 2023.