Ellis, Debra Kay

Ellis, Debra Kay is an sole proprietor health care provider with primary practice located at 4388 W Vickery Blvd , Ft Worth TX 76107-6339. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ellis, Debra Kay can be contacted via phone (817) 996-7548.

Contact Information

Primary practice address
4388 W Vickery Blvd Ft Worth TX 76107-6339
Phone: (817) 996-7548
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 63387 Texas
Behavioral Health & Social Service Providers / School 1041S0200X 015218 Texas

Profile Details

NPI number 1194929562
LBN Legal business name Ellis, Debra Kay
Credentials LPC, LBSW,ACBSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2007
Last updated Jun 26th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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