Ellis Therapeutic Services

LBN: Ellis Therapeutic Services
Ellis Therapeutic Services is an health care organization with primary practice located at 16116 Inverrary Ln , Bloomington IL 61705-5580. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Ellis Therapeutic Services can be contacted via phone (309) 830-3968, or through Carpenter-Ellis, Thelma via phone (309) 830-3968.

Contact Information

Primary practice address
16116 Inverrary Ln Bloomington IL 61705-5580
Phone: (309) 830-3968
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carpenter-Ellis, Thelma
Phone: (309) 830-3968

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1609453307
LBN Legal business name Ellis Therapeutic Services
DBA Doing business as
Authorized official Carpenter-Ellis, Thelma
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2021
Last updated Mar 27th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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