Eddie Ellis is a Mental Health in Fort Worth, Texas. Eddie Ellis practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Eddie Ellis is 1841400132. The last update date is 2007-07-08.
Eddie Ellis's current location address is 420 Tierney Rd, Fort Worth, Texas. You can contact this provider via phone number 8175345480 and fax number 8175344748. The mailing address for Eddie Ellis is 420 Tierney Rd, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eddie Ellis |
|---|---|
| Address | 420 Tierney Rd, Fort Worth, Texas |
| Phone Number | 8175345480 |
| Fax Number | 8175344748 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1841400132 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 420 Tierney Rd |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761126324 |
| Phone Number | 8175345480 |
| Fax Number | 8175344748 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Eddie Ellis by the Centers for Medicare & Medicaid Services?
The Eddie Ellis has been assigned the NPI (National Provider Identifier) 1841400132 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Eddie Ellis's facilities are geographically located?
The facilities of Eddie Ellis are physically situated at the following location: 420 Tierney Rd, Fort Worth, TX, 761126324.
What is Eddie Ellis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eddie Ellis's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1841400132 to Eddie Ellis?
The Centers for Medicare & Medicaid Services assigned the 1841400132 to Eddie Ellis on 2007-05-23.
When was the information pertaining to Eddie Ellis most recently updated or revised?
The details related to Eddie Ellis, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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