MS. MARY JORDAN ELLIS NPI 1528304193

NPI Information

NPI: 1528304193
Provider Name: MS. MARY JORDAN ELLIS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2200 N TORREY PINES DR
APARTMENT 2009
LAS VEGAS, NV
ZIP 89108
Phone: (702) 202-3128
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MS. Mary Jordan Ellis is a mental health counselor in Las Vegas, NV. MS. Mary Jordan Ellis NPI is 1528304193. 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:

2200 N TORREY PINES DR
APARTMENT 2009
LAS VEGAS, NV
ZIP 89108-375
Phone: (702) 202-3128
Fax: (702) 272-0530

The enumeration date for this NPI number is 12/29/2012 and was last updated on 12/29/2012.

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			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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