Ellis Therapeutic Services

NPI #1609453307 in Bloomington, Illinois

Provider Information

NPI Number: 1609453307
Entity Type: Organization
Organization Name: Ellis Therapeutic Services
Primary Specialty: Counselor
Enumeration Date: Mar 27, 2021
Last Updated: Mar 27, 2021

Practice Location

Address: 16116 INVERRARY LN
City: Bloomington
State: Illinois
ZIP Code: 61705-5580
Phone: (309) 830-3968

Authorized Official

Name: THELMA CARPENTER-ELLIS
Title: CEO/OWNER
Phone: (309) 830-3968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Pastoral — Pastoral	101YP1600X
Counselor - Professional — Professional	101YP2500X
Counselor	101Y00000X	Primary

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