Heather Shannon Stoume Ellis, MSW, P-LCSW, LCAS,
NPI #1093947913 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1093947913
- Entity Type
- Individual
- Name
- Heather Shannon Stoume Ellis, MSW, P-LCSW, LCAS,
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, P-LCSW, LCAS,
- Enumeration Date
- Aug 11, 2009
- Last Updated
- Aug 21, 2023
Practice Location
- Address
- 120 COASTAL HORIZONS DR
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-6094
- Phone
- (910) 754-4515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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