person
Mr. Larry Ellis, MSW
Mental Health Counselor in Milwaukee, Wisconsin
NPI 1437578366

Larry Ellis is a Mental Health Counselor based in Milwaukee, WI and is specialized in Mental Health. Larry Ellis practices in Milwaukee, WI and has the professional credentials of MSW. The NPI Number for Larry Ellis is 1437578366 and holds a License No. 129151-121 (Wisconsin).

The current practice location address for Larry Ellis is 11104 W Meadow Creek Dr, Milwaukee, WI and can be reached out via phone at 414-461-3134 and via fax at 414-393-6222.

Location: 11104 W Meadow Creek Dr, Milwaukee, WI, 53224-5053
person
Provider Profile Details
NPI Number
1437578366
Provider Name
Larry Ellis
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
11104 W Meadow Creek Dr, Milwaukee, WI, 53224-5053
Phone Number
414-461-3134
Fax Number
414-393-6222
Provider Enumeration Date
04/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11104 W Meadow Creek Dr
City
State
Zip
53224-5053
Phone Number
414-461-3134
Fax Number
414-393-6222
person
Provider Business Mailing Address Details
Address
11104 W Meadow Creek Dr
City
State
Zip
53224-5053
Phone Number
414-461-3134
Fax Number
414-393-6222
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
129151-121 (Wisconsin)
Definition
Definition to come...
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