Nicole Renee Ellis in Elizabethtown - Professional

Nicole Renee Ellis - NPI 1164580106

Nicole Renee Ellis is a Professional in Elizabethtown, Kentucky. Nicole Renee Ellis practices all healthcare services and medical treatments related to Professional. The NPI Number for Nicole Renee Ellis is 1164580106. The last update date is 2022-07-21.

Nicole Renee Ellis's current location address is 108 Christine Way, Elizabethtown, Kentucky. You can contact this provider via phone number 2703122877. The mailing address for Nicole Renee Ellis is 108 Christine Way, Elizabethtown, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicole Renee Ellis
Address 108 Christine Way, Elizabethtown, Kentucky
Phone Number 2703122877
Fax Number
Sole Proprietor Y
Credentials LPCC-S, NC

NPI Number Detail

NPI Number 1164580106
Provider Enumeration Date 2006-12-04
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 108 Christine Way
City Elizabethtown
State Kentucky (KY)
Post Code 42701
Phone Number 2703122877
Fax Number

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 103828
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30605018 KY --
498778 KY ANTHEM

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FAQs about Nicole Renee Ellis

What is the unique identification code assigned to Nicole Renee Ellis by the Centers for Medicare & Medicaid Services?

The Nicole Renee Ellis has been issued the NPI (National Provider Identifier) 1164580106. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Nicole Renee Ellis's facilities are geographically located?

The facilities of Nicole Renee Ellis are physically situated at the following location: 108 Christine Way, Elizabethtown, KY, 42701.

What is Nicole Renee Ellis's specialized field of practice, and what is the corresponding taxonomy classification code?

The Nicole Renee Ellis's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.

On what date did the Centers for Medicare & Medicaid Services issue the 1164580106 to Nicole Renee Ellis?

The Nicole Renee Ellis received its 1164580106 assignment from the Centers for Medicare & Medicaid Services on 2006-12-04.

When was the information regarding Nicole Renee Ellis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Nicole Renee Ellis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.

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