Ellis, Debra Kay
Ellis, Debra Kay is an sole proprietor health care provider with primary practice located at 4388 W Vickery Blvd , Ft Worth TX 76107-6339. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ellis, Debra Kay can be contacted via phone (817) 996-7548.Contact Information
Primary practice address
4388 W Vickery Blvd
Ft Worth TX 76107-6339
Phone: (817) 996-7548
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 63387 | Texas |
| Behavioral Health & Social Service Providers / School | 1041S0200X | 015218 | Texas |
Profile Details
| NPI number | 1194929562 |
|---|---|
| LBN Legal business name | Ellis, Debra Kay |
| Credentials | LPC, LBSW,ACBSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Jun 26th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Foster, Priya
3815 Lisbon St Ste 202 , Ft Worth TX 76107-5673 -
Chaney, Mark
5733 Jacqueline Rd , Ft Worth TX 76112-3952 -
Alexander, Stacia Lynn
100 E 15Th St Suite 340, Ft Worth TX 76102-6550 -
Calhoun, Beth Ann
7833 Oakmont Blvd , Ft Worth TX 76132-4231 -
Moore, Barbara J
1501 Merrimac Circle Ste 101, Ft Worth TX 76107 -
Kurtin, Cloud K
2516 Oakland Blvd , Ft Worth TX 76103 -
Marques, Stephanie Michelle
2928 W 5Th St , Ft Worth TX 76107-2242 -
Trammell, Mathew A
1400 S Main St Suite 509, Ft Worth TX 76104-4909