EDDIE ELLIS NPI 1841400132

NPI Information

NPI: 1841400132
Provider Name: EDDIE ELLIS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
420 TIERNEY RD
FORT WORTH, TX
ZIP 76112
Phone: (817) 534-5480
Get Directions

Eddie Ellis is a mental health counselor in Fort Worth, TX. Eddie Ellis NPI is 1841400132. 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:

420 TIERNEY RD
FORT WORTH, TX
ZIP 76112-324
Phone: (817) 534-5480
Fax: (817) 534-4748

The enumeration date for this NPI number is 5/23/2007 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	Primary
1	101YM0800X	Counselor	Mental Health	Yes
2	103TA0700X	Psychologist	Adult Development & Aging	X
3	103TH0100X	Psychologist	Health Service	X
4	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »