Ellis, Nathan Cody

Ellis, Nathan Cody is an individual health care provider with primary practice located at 703 S Americana Blvd Ste 150 , Boise ID 83702-4976. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychoanalyst. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Ellis, Nathan Cody can be contacted via phone (208) 706-6375.

Contact Information

Primary practice address
703 S Americana Blvd Ste 150 Boise ID 83702-4976
Phone: (208) 706-6375
Fax: (208) 706-6395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4858 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4858 Idaho
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4858 Idaho
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC-7528 Idaho
Behavioral Health & Social Service Providers / Professional 101YP2500X 4858 Idaho
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 4858 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC-7528 Idaho

Profile Details

NPI number 1154609998
LBN Legal business name Ellis, Nathan Cody
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2011
Last updated Jun 8th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154609998 NPPES
Other 1091972 NATIONAL BOARD OF CERTIFIED COUNSELORS INC

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