Shannon Ellis
NPI #1417604331 in Columbus, Mississippi
Provider Information
- NPI Number
- 1417604331
- Entity Type
- Individual
- Name
- Shannon Ellis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 10, 2022
- Last Updated
- Oct 16, 2025
Practice Location
- Address
- 75 WOOD GLEN LN
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705-3273
- Phone
- (662) 574-2150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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