Mia Ellis, LCPC
NPI #1164178588 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1164178588
- Entity Type
- Individual
- Name
- Mia Ellis, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC
- Enumeration Date
- Feb 24, 2022
- Last Updated
- Oct 31, 2025
Practice Location
- Address
- 5116 DORSEY HALL DR
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21042-7871
- Phone
- (443) 745-8062
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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