Nathan Cody Ellis, LCPC is a mental health counselor in Boise, ID. Nathan Cody Ellis, LCPC NPI is 1154609998. 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:
703 S AMERICANA BLVD STE 150
BOISE, ID
ZIP 83702-976
Phone: (208) 706-6375
Fax: (208) 706-6395
The NPI 1154609998 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 7/27/2011 and was last updated on 6/8/2022.