Temple Ellis
NPI #1396125043 in Reynoldsburg, Ohio
Provider Information
- NPI Number
- 1396125043
- Entity Type
- Organization
- Organization Name
- Temple Ellis
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 8, 2015
- Last Updated
- Aug 11, 2015
Practice Location
- Address
- 3050 PENTON ST
- City
- Reynoldsburg
- State
- Ohio
- ZIP Code
- 43068-8217
- Phone
- (614) 354-0831
Authorized Official
- Name
- TEMPLE T ELLIS, LISW-S
- Title
- LICENSED INDEPENDENT SOCIAL WORKER
- Phone
- (614) 354-0831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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