Individual provider · Type 1 NPI
Tiant Shanta Ellison
Counselor · Nw Haven, CT
NPI number
1922419894
Active
Practice location
93 Edwards St.
Nw Haven, CT 06511
Mailing address
199 Valley St
New Haven, CT 06515-1213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 247087391 (CT) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Another provider at this address
About NPI 1922419894
Tiant Shanta Ellison's National Provider Identifier is 1922419894, issued on May 14, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Nw Haven, CT. The record was last updated on May 14, 2014.