Ellis, T. Nicole

Ellis, T. Nicole is an sole proprietor health care provider with primary practice located at 780 Pilot House Dr Ste 100A , Newport News VA 23606-4411. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellis, T. Nicole can be contacted via phone (757) 593-1840.

Contact Information

Primary practice address
780 Pilot House Dr Ste 100A Newport News VA 23606-4411
Phone: (757) 593-1840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904008384 Virginia

Profile Details

NPI number 1649609546
LBN Legal business name Ellis, T. Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2013
Last updated Jan 28th, 2022 - about 4 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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