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Mikal Ellis
Professional Counselor in Philadelphia, Pennsylvania
NPI 1912605213

Mikal Ellis is a Professional Counselor based in Philadelphia, PA and is specialized in Professional. Mikal Ellis practices in Philadelphia, PA. The NPI Number for Mikal Ellis is 1912605213 and holds a License No. (Pennsylvania).

The current practice location address for Mikal Ellis is 2551 N 16Th St, Philadelphia, PA and can be reached out via phone at 215-800-8031.

Location: 2551 N 16Th St, Philadelphia, PA, 19132-3908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912605213
Provider Name
Mikal Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
2551 N 16Th St, Philadelphia, PA, 19132-3908
Phone Number
215-800-8031
Fax Number
Provider Enumeration Date
02/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2551 N 16Th St
City
Philadelphia
State
Pennsylvania
Zip
19132-3908
Phone Number
215-800-8031
Fax Number
person
Provider Business Mailing Address Details
Address
2551 N 16Th St
City
Philadelphia
State
Pennsylvania
Zip
19132-3908
Phone Number
215-800-8031
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
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
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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