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 10 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
-
Calhoun, Beth Ann
7833 Oakmont Blvd , Ft Worth TX 76132-4231 -
Fleming, Katie Ann
6040 Camp Bowie Blvd Suite 59, Ft Worth TX 76116-5612 -
Teague, Ruth Ann
5000 White Oak Lane , Ft Worth TX 76114 -
Kurtin, Cloud K
2516 Oakland Blvd , Ft Worth TX 76103 -
Foster, Priya
3815 Lisbon St Ste 202 , Ft Worth TX 76107-5673 -
Grigsby, Nishani Kweli
3121 Collinsworth Suite 14, Ft. Worth TX 76107 -
Sheppard, William Robert
1555 Merrimac Circle Suite 105, Ft. Worth TX 76107 -
Marques, Stephanie Michelle
2928 W 5Th St , Ft Worth TX 76107-2242