MR. LARRY ELLIS M.S.W. NPI 1437578366

NPI Information

NPI: 1437578366
Provider Name: MR. LARRY ELLIS, M.S.W.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
11104 W MEADOW CREEK DR
MILWAUKEE, WI
ZIP 53224
Phone: (414) 461-3134
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MR. Larry Ellis, M.S.W. is a mental health counselor in Milwaukee, WI. MR. Larry Ellis, M.S.W. NPI is 1437578366. 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:

11104 W MEADOW CREEK DR
MILWAUKEE, WI
ZIP 53224-053
Phone: (414) 461-3134
Fax: (414) 393-6222

The enumeration date for this NPI number is 4/8/2014 and was last updated on 4/8/2014.

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	129151-121	WISCONSIN	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: 11/14/2023

NPI Synchronization or Removal

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