Corey Ellow is a Counselor based in Chalmette, LA. Corey Ellow practices in Chalmette, LA. The NPI Number for Corey Ellow is 1922453182 and holds a License No. (Louisiana).
The current practice location address for Corey Ellow is 908 W Judge Perez Dr, Chalmette, LA and can be reached out via phone at 504-324-5298.
Location: 908 W Judge Perez Dr, Chalmette, LA, 70043-4773
Provider Profile Details
NPI Number
1922453182
Provider Name
Corey Ellow
Credential
Provider Entity Type
Individual
Gender
Male
Address
908 W Judge Perez Dr, Chalmette, LA, 70043-4773
Phone Number
504-324-5298
Fax Number
Provider Enumeration Date
04/25/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750754727 | 05 | LA | |
| 1750754727 | 01 | LA | MHR |
Provider Business Practice Location Address Details
Address
908 W Judge Perez Dr
City
State
Zip
70043-4773
Phone Number
504-324-5298
Fax Number
Provider Business Mailing Address Details
Address
908 W Judge Perez Dr
City
State
Zip
70043-4773
Phone Number
504-324-5298
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(Louisiana)
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.
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