Michael G. Ellison, PH.D.

Professional Counselor · Azle, TX

Individual Active NPI

NPI number 1417158734

Practice location

11940 FM 730 N
Azle, TX 76020-5442
Phone
(817) 444-5800
Fax
(817) 444-5800

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NPI record

NPI
1417158734
Entity type
Individual (Type 1)
Enumeration date
May 31, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 20094 TX

About Dr. Ellison

Michael G. Ellison, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 11940 FM 730 N, Azle, TX 76020-5442. The NPI number 1417158734 was assigned on May 31, 2007 and the record was last updated on July 8, 2007.

Dr. Ellison lists a license in the registry: #20094 (TX) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael G. Ellison, PH.D.?

The NPI number is 1417158734.

What is the phone number of Dr. Ellison?

The phone number listed for the practice location is (817) 444-5800.

Where is Dr. Ellison located?

11940 FM 730 N, Azle, TX 76020-5442.

What is the taxonomy code for Dr. Ellison?

The primary taxonomy code is 101YP2500X – Professional Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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