| NPI | 1679941751 |
|---|---|
| Doing Business As | ALICE ELLIS, LPCC |
| Entity Type | Organization |
| Authorized Contact | ALICE A ELLIS Authorized Agent 270-401-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY LPCPCC00216428) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |