MS. JOAN MARIE ELLIS M.A. LPC LCDC NPI 1255419685

NPI Information

NPI: 1255419685
Provider Name: MS. JOAN MARIE ELLIS, M.A., LPC, LCDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
7410 BLANCO RD
STE. 100
SAN ANTONIO, TX
ZIP 78216
Phone: (210) 525-1979
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MS. Joan Marie Ellis, M.A., LPC, LCDC is an addiction (substance use disorder) counselor in San Antonio, TX. MS. Joan Marie Ellis, M.A., LPC, LCDC NPI is 1255419685. 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:

7410 BLANCO RD
STE. 100
SAN ANTONIO, TX
ZIP 78216-363
Phone: (210) 525-1979
Fax: (210) 344-9255

The enumeration date for this NPI number is 11/2/2006 and was last updated on 7/8/2007.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1196	TEXAS	Yes
2	101YM0800X	Counselor	Mental Health	05287	TEXAS	X

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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