Ellis, Kathleen

Ellis, Kathleen is an sole proprietor health care provider with primary practice located at 65 Roselund Hill Rd , Uncasville CT 06382-2115. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Ellis, Kathleen can be contacted via phone (860) 848-9214.

Contact Information

Primary practice address
65 Roselund Hill Rd Uncasville CT 06382-2115
Phone: (860) 848-9214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000903 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 002541 Connecticut

Profile Details

NPI number 1679902316
LBN Legal business name Ellis, Kathleen
Credentials PHD, LADC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2013
Last updated Aug 11th, 2014 - about 11 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.

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