Ellis, Susan

Ellis, Susan is an individual health care provider with primary practice located at W175N11163 Stonewood Dr Ste 106 , Germantown WI 53022-6501. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ellis, Susan can be contacted via phone (262) 345-4270.

Contact Information

Primary practice address
W175N11163 Stonewood Dr Ste 106 Germantown WI 53022-6501
Phone: (262) 345-4270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1285247114
LBN Legal business name Ellis, Susan
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2020
Last updated Jan 31st, 2023 - 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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