DR. KEIAH ELLIS PH.D. NPI 1114428091

NPI Information

NPI: 1114428091
Provider Name: DR. KEIAH ELLIS, PH.D.
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
7832 OAK CREEK TRL
SHREVEPORT, LA
ZIP 71129
Phone: (318) 344-3770
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DR. Keiah Ellis, PH.D. is a pastoral counselor in Shreveport, LA. DR. Keiah Ellis, PH.D. NPI is 1114428091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7832 OAK CREEK TRL
SHREVEPORT, LA
ZIP 71129-811
Phone: (318) 344-3770

The enumeration date for this NPI number is 2/26/2018 and was last updated on 2/26/2018.

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	101YP1600X	Counselor	Pastoral			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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