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Lisa Marie Ellison, MA,LMT
Counselor in Norfolk, Virginia
NPI 1275135972

Lisa Marie Ellison is a Counselor based in Virginia Beach, VA. Lisa Marie Ellison practices in Norfolk, VA and has the professional credentials of MA,LMT. The NPI Number for Lisa Marie Ellison is 1275135972 and holds a License No. 0019013803 (Virginia).

The current practice location address for Lisa Marie Ellison is 900 Granby St, Norfolk, VA and can be reached out via phone at 757-447-0931. You can also correspond with Lisa Marie Ellison through the mailing address at 1665 LAKE CHRISTOPHER DR, VIRGINIA BEACH, VA - 23464-7805 (mailing address contact number: 724-601-3027).

Location: 900 Granby St, Norfolk, VA, 23464-7805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275135972
Provider Name
Lisa Marie Ellison
Credential
MA,LMT
Provider Entity Type
Individual
Gender
Female
Address
900 Granby St, Norfolk, VA, 23464-7805
Phone Number
757-447-0931
Fax Number
Provider Enumeration Date
11/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Granby St
City
Norfolk
State
Virginia
Zip
23510-2503
Phone Number
757-447-0931
Fax Number
person
Provider Business Mailing Address Details
Address
1665 Lake Christopher Dr
City
Virginia Beach
State
Virginia
Zip
23464-7805
Phone Number
724-601-3027
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
0019013803 (Virginia)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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