National Provider Identifier
Elizabeth Anne Mellin, PHD, LPC
Elizabeth Anne Mellin, PHD, LPC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (814) 769-3399.
Profile Overview
- NPI
- 1366062234
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- April 21, 2020
- Last Updated
- April 21, 2020
Practice Location
- 1168 Ellis Hollow RD
- Ithaca, NY 14850-2946
Phone: (814) 769-3399
Specialties
- Mental Health Counselor (101YM0800X)
Endpoints
- Ithaca
Connect Url | Health Information Exchange (Hie) | Csv | Ithaca, NY 14850
Practice Location
Full Record
- NPI
- 1366062234
- Entity Type
- Individual
- Last Name
- Mellin
- First Name
- Elizabeth
- Middle Name
- Anne
- Name Prefix
- Dr.
- Credential
- PHD, LPC
- Mailing Street Address
- 1168 Ellis Hollow RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-2946
- Mailing Country
- US
- Mailing Phone
- (814) 769-3399
- Practice Street Address
- 1168 Ellis Hollow RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2946
- Practice Country
- US
- Practice Phone
- (814) 769-3399
- Enumeration Date
- April 21, 2020
- Last Updated
- April 21, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 21, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- LPC004002 (GA, Licensed Professional Counselor)