Lawrence Eugene Ellis, LADC - Oklahoma City, OK

Lawrence Eugene Ellis, LADC

Counselor in Oklahoma City, Oklahoma

NPI 1215175591

Lawrence Eugene Ellis is a Counselor based in Oklahoma City, OK. Lawrence Eugene Ellis practices in Oklahoma City, OK and has the professional credentials of LADC. The NPI Number for Lawrence Eugene Ellis is 1215175591 and holds a License No. 366 (Oklahoma).

The current practice location address for Lawrence Eugene Ellis is 2401 N.w. 39Th I 44 Service Rd, Oklahoma City, OK and can be reached out via phone at 405-557-1655.

Location: 2401 N.w. 39Th I 44 Service Rd, Oklahoma City, OK, 73111-5853

NPI Number

1215175591

Provider Name

Lawrence Eugene Ellis

Credential

LADC

Provider Entity Type

Individual

Gender

Male

Address

2401 N.w. 39Th I 44 Service Rd, Oklahoma City, OK, 73111-5853

Phone Number

405-557-1655

Fax Number

Provider Enumeration Date

01/26/2009

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
10	01	OK	INSURE OKLAHOMA
1	01	OK	INSURE OKLAHOMA

Address

2401 N.w. 39Th I 44 Service Rd

City

Oklahoma City

State

Oklahoma

Zip

73112-8739

Phone Number

405-557-1655

Fax Number

Address

2401 N.w. 39Th I 44 Service Rd

City

Oklahoma City

State

Oklahoma

Zip

73112-8739

Phone Number

405-557-1655

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

366 (Oklahoma)

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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