HOLLY ELLINGBURG M.AMFT LPC NPI 1063658730

NPI Information

NPI: 1063658730
Provider Name: HOLLY ELLINGBURG, M.AMFT, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4500 I 55 N STE 293
JACKSON, MS
ZIP 39211
Phone: (601) 982-5943
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Holly Ellingburg, M.AMFT, LPC is a professional counselor in Jackson, MS. Holly Ellingburg, M.AMFT, LPC NPI is 1063658730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4500 I 55 N STE 293
JACKSON, MS
ZIP 39211-966
Phone: (601) 982-5943
Fax: (601) 362-4089

The enumeration date for this NPI number is 12/30/2008 and was last updated on 12/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	1409	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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