MR. KENDRICK MAURICE ELLISON NPI 1407225345

NPI Information

NPI: 1407225345
Provider Name: MR. KENDRICK MAURICE ELLISON
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
714 BLUE HILL AVE APT 3
BOSTON, MA
ZIP 02121
Phone: (617) 637-0434
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MR. Kendrick Maurice Ellison is a mental health counselor in Boston, MA. MR. Kendrick Maurice Ellison NPI is 1407225345. 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:

714 BLUE HILL AVE APT 3
BOSTON, MA
ZIP 02121-239
Phone: (617) 637-0434

The enumeration date for this NPI number is 9/22/2015 and was last updated on 9/22/2015.

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	S11267675	MASSACHUSETTS	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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