LAWRENCE EUGENE ELLIS LADC NPI 1215175591

NPI Information

NPI: 1215175591
Provider Name: LAWRENCE EUGENE ELLIS, LADC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2401 N.W. 39TH I 44 SERVICE RD
SUITE 103
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 557-1655
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Lawrence Eugene Ellis, LADC is a counselor in Oklahoma City, OK. The provider is 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. Lawrence Eugene Ellis, LADC NPI is 1215175591. 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:

2401 N.W. 39TH I 44 SERVICE RD
SUITE 103
OKLAHOMA CITY, OK
ZIP 73112-739
Phone: (405) 557-1655

The enumeration date for this NPI number is 1/26/2009 and was last updated on 1/26/2009.

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	101Y00000X	Counselor		366	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1	OTHER	OKLAHOMA	INSURE OKLAHOMA
2	10	OTHER	OKLAHOMA	INSURE OKLAHOMA

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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