Individual provider · Type 1 NPI

Chandra Ellis

Mental Health Counselor · Greenwood, MS

NPI number 1922974054 Active

Practice location

2504 Browning Road 520
Greenwood, MS 38930-6022

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPH5992 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1922974054

Chandra Ellis's National Provider Identifier is 1922974054, issued on Oct 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenwood, MS. The record was last updated on Oct 24, 2025.