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Ellis Therapeutic Services
Professional Counselor in Bloomington, Illinois
NPI 1609453307

Ellis Therapeutic Services is a Professional Counselor based in Bloomington, IL and is specialized in Professional. Ellis Therapeutic Services practices in Bloomington, IL. The NPI Number for Ellis Therapeutic Services is 1609453307 and holds a License No. (Illinois).

The current practice location address for Ellis Therapeutic Services is 16116 Inverrary Ln, Bloomington, IL and can be reached out via phone at 309-830-3968.

Location: 16116 Inverrary Ln, Bloomington, IL, 61705-5580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609453307
Provider Name
Ellis Therapeutic Services
Credential
Provider Entity Type
Organization
Address
16116 Inverrary Ln, Bloomington, IL, 61705-5580
Phone Number
309-830-3968
Fax Number
Provider Enumeration Date
03/27/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
16116 Inverrary Ln
City
Bloomington
State
Illinois
Zip
61705-5580
Phone Number
309-830-3968
Fax Number
person
Provider Business Mailing Address Details
Address
16116 Inverrary Ln
City
Bloomington
State
Illinois
Zip
61705-5580
Phone Number
309-830-3968
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
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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