Ellis, Jason Dean

Ellis, Jason Dean is an sole proprietor health care provider with primary practice located at 1102 E Missouri Ave , Phoenix AZ 85014-2708. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is his primary health care specialty. Ellis, Jason Dean can be contacted via phone (602) 999-8389.

Contact Information

Primary practice address
1102 E Missouri Ave Phoenix AZ 85014-2708
Phone: (602) 999-8389
Fax: (602) 613-4165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT15837 Arizona
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X OTC13694 Arizona

Profile Details

NPI number 1720786031
LBN Legal business name Ellis, Jason Dean
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2023
Last updated May 7th, 2025 - about last year

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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