Search › Michigan › 101YP2500X
Kelly Ellis, MA, LPC, BCPC
NPI 1417189929 · on the registry since 2009 · sole proprietor
Practice
- Address
- 404 Broadway St
Suite B
South Haven, MI 49090 - Phone
- (269) 214-1234
- Fax
- (269) 872-3625
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan