MR. MARK DAVID ELLIOTT LPCC NPI 1134634884

NPI Information

NPI: 1134634884
Provider Name: MR. MARK DAVID ELLIOTT, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2440 6TH ST
EUREKA, CA
ZIP 95501
Phone: (707) 268-2800
Get Directions

MR. Mark David Elliott, LPCC is a professional counselor in Eureka, CA. MR. Mark David Elliott, LPCC NPI is 1134634884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2440 6TH ST
EUREKA, CA
ZIP 95501-788
Phone: (707) 268-2800

The enumeration date for this NPI number is 12/4/2017 and was last updated on 10/1/2021.

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	101YM0800X	Counselor	Mental Health	10276	CALIFORNIA	No
2	101YM0800X	Counselor	Mental Health	PCCI4283	CALIFORNIA	No
3	101YP2500X	Counselor	Professional	10276	CALIFORNIA	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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