person
Mattison Lanier Ellis, LPC
Professional Counselor in Southaven, Mississippi
NPI 1851461917

Mattison Lanier Ellis is a Professional Counselor based in Southaven, MS and is specialized in Professional. Mattison Lanier Ellis practices in Southaven, MS and has the professional credentials of LPC. The NPI Number for Mattison Lanier Ellis is 1851461917 and holds a License No. 1112 (Mississippi).

The current practice location address for Mattison Lanier Ellis is 8829 Centre St, Southaven, MS and can be reached out via phone at 662-280-6777 and via fax at 662-280-6775. You can also correspond with Mattison Lanier Ellis through the mailing address at 8829 CENTRE ST, SOUTHAVEN, MS - 38671-2610 (mailing address contact number: 662-280-6777).

Location: 8829 Centre St, Southaven, MS, 38671-2610
person
Provider Profile Details
NPI Number
1851461917
Provider Name
Mattison Lanier Ellis
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
8829 Centre St, Southaven, MS, 38671-2610
Phone Number
662-280-6777
Fax Number
662-280-6775
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8829 Centre St
City
State
Zip
38671-2610
Phone Number
662-280-6777
Fax Number
662-280-6775
person
Provider Business Mailing Address Details
Address
8829 Centre St
City
State
Zip
38671-2610
Phone Number
662-280-6777
Fax Number
662-280-6775
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1112 (Mississippi)
Definition
Definition to come...
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