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Bethany Ellis
Mental Health Counselor in Leesburg, Virginia
NPI 1841866886

Bethany Ellis is a Mental Health Counselor based in Leesburg, VA and is specialized in Mental Health. Bethany Ellis practices in Leesburg, VA. The NPI Number for Bethany Ellis is 1841866886 and holds a License No. (Virginia).

The current practice location address for Bethany Ellis is 102 Heritage Way Ne Ste 302, Leesburg, VA and can be reached out via phone at 703-771-5100.

Location: 102 Heritage Way Ne Ste 302, Leesburg, VA, 20176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841866886
Provider Name
Bethany Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
102 Heritage Way Ne Ste 302, Leesburg, VA, 20176
Phone Number
703-771-5100
Fax Number
Provider Enumeration Date
06/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 Heritage Way Ne Ste 302
City
Leesburg
State
Virginia
Zip
20176-4544
Phone Number
703-771-5100
Fax Number
person
Provider Business Mailing Address Details
Address
102 Heritage Way Ne Ste 302
City
Leesburg
State
Virginia
Zip
20176-4544
Phone Number
703-771-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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