Active NPIIndividual provider

Shandi L Ellis

Counselor, Addiction (Substance Use Disorder) in Augusta, Maine

NPI Number1104631019
Practice location
10 Caldwell RD, Augusta, ME 04330-5735
Fax
—
Last updated
February 8, 2025

Shandi Lynn Ellis is a Counselor, Addiction (Substance Use Disorder) based in Augusta, ME. Shandi Lynn Ellis practices in Augusta, ME. The NPI Number for Shandi Lynn Ellis is 1104631019 and holds a License No. CAC8759 (ME). The current practice location address for Shandi Lynn Ellis is 10 Caldwell RD, Augusta, ME 04330-5735 and can be reached out via phone at 207-626-3448.

Provider Profile Details

NPI Number
1104631019
Provider Name
Shandi Lynn Ellis
Provider Entity Type
Individual
Gender
Female
Address
10 Caldwell RD, Augusta, ME 04330-5735
Phone Number
207-626-3448
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
February 8, 2025
Last Update Date
February 8, 2025
Certification Date
February 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Caldwell RD
Augusta, ME 04330-5735
State
Maine
Zip
04330-5735
Phone Number
207-626-3448
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
22 North St Apt 3
Augusta, ME 04330-5009
City
Augusta
State
ME
Zip
04330-5009
Phone Number
207-458-2356

License Information

License Number
CAC8759
License State
ME
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shandi L Ellis?

The NPI number of Shandi L Ellis is 1104631019. It was assigned on February 8, 2025 and is currently active in the NPPES registry.

What is the specialty of Shandi L Ellis?

Shandi L Ellis is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number CAC8759.

Where does Shandi L Ellis practice?

The practice location is 10 Caldwell RD, Augusta, ME 04330-5735. The office can be reached at 207-626-3448 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104631019 directly on the NPPES registry website.

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