Search › Ohio › 101YA0400X
Deontrae Ellis, LICDC
NPI 1548505860 · on the registry since 2012
Practice
- Address
- 201 N Yellow Springs St
Springfield, OH 45504 - Phone
- (833) 510-4357
- Fax
- (513) 881-7188
- Organisation at this address
- Adam Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 30
Additional practice sites
- 1830 W High St, Piqua, OH
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-24
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 Ohio