Ellis, Deontrae Marquise

Ellis, Deontrae Marquise is an individual health care provider with primary practice located at 201 N Yellow Springs St , Springfield OH 45504-2650. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Ellis, Deontrae Marquise can be contacted via phone (833) 510-4357.

Contact Information

Primary practice address
201 N Yellow Springs St Springfield OH 45504-2650
Phone: (833) 510-4357
Fax: (513) 881-7188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.151072 Ohio

Profile Details

NPI number 1548505860
LBN Legal business name Ellis, Deontrae Marquise
Credentials LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2012
Last updated Oct 24th, 2023 - about 3 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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