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Tierra Ellis
Mental Health Counselor in Laurel, Maryland
NPI 1487348314

Tierra Ellis is a Mental Health Counselor based in Laurel, MD and is specialized in Mental Health. Tierra Ellis practices in Laurel, MD. The NPI Number for Tierra Ellis is 1487348314 and holds a License No. 230313968 (Maryland).

The current practice location address for Tierra Ellis is 14900 Sweitzer Ln Ste 200, Laurel, MD and can be reached out via phone at 240-360-2161 and via fax at 240-360-1938.

Location: 14900 Sweitzer Ln Ste 200, Laurel, MD, 20707-2915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487348314
Provider Name
Tierra Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
14900 Sweitzer Ln Ste 200, Laurel, MD, 20707-2915
Phone Number
240-360-2161
Fax Number
240-360-1938
Provider Enumeration Date
06/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14900 Sweitzer Ln Ste 200
City
Laurel
State
Maryland
Zip
20707-2915
Phone Number
240-360-2161
Fax Number
240-360-1938
person
Provider Business Mailing Address Details
Address
14900 Sweitzer Ln Ste 200
City
Laurel
State
Maryland
Zip
20707-2915
Phone Number
240-360-2161
Fax Number
240-360-1938
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
230313968 (Maryland)
Definition
Definition to come...
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