Alisa Ellis is a Professional in Idaho Falls, Idaho. Alisa Ellis practices all healthcare services and medical treatments related to Professional. The NPI Number for Alisa Ellis is 1881879039. The last update date is 2008-01-07.
Alisa Ellis's current location address is 2001 S Woodruff Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085294673 and fax number 2085294676. The mailing address for Alisa Ellis is 2001 S Woodruff Ave, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alisa Ellis |
|---|---|
| Address | 2001 S Woodruff Ave, Idaho Falls, Idaho |
| Phone Number | 2085294673 |
| Fax Number | 2085294676 |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1881879039 |
|---|---|
| Provider Enumeration Date | 2008-01-07 |
| Last Updated Date | 2008-01-07 |
Provider Mailing Address Detail
| Address | 2001 S Woodruff Ave |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834046374 |
| Phone Number | 2085294673 |
| Fax Number | 2085294676 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LCPC-3497 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the Alisa Ellis's unique identification number?
The Alisa Ellis has been assigned the NPI (National Provider Identifier) Number 1881879039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Alisa Ellis is physically located?
The Alisa Ellis is physically situated at the following address: 2001 S Woodruff Ave, Idaho Falls, ID, 834046374.
What is Alisa Ellis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Alisa Ellis is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Alisa Ellis receive the assignment of its 1881879039 from the Centers for Medicare & Medicaid Services?
The Alisa Ellis was issued its 1881879039 by the Centers for Medicare & Medicaid Services on 2008-01-07.
As of what date were the Alisa Ellis's details last updated?
The information pertaining to the Alisa Ellis, including its address, specialty, and other details, was most recently updated on 2008-01-07.