National Provider Identifier
Michael Flint Ellis, LMSW
Michael Flint Ellis, LMSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (607) 239-7247.
Profile Overview
- NPI
- 1467762393
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- October 13, 2010
- Last Updated
- January 02, 2013
Practice Location
- 230 Rachel Carson Way
- Ithaca, NY 14850-8401
Phone: (607) 239-7247
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1467762393
- Entity Type
- Individual
- Last Name
- Ellis
- First Name
- Michael
- Middle Name
- Flint
- Name Prefix
- Mr.
- Credential
- LMSW
- Mailing Street Address
- 230 Rachel Carson Way
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-8401
- Mailing Country
- US
- Mailing Phone
- (607) 239-7247
- Practice Street Address
- 230 Rachel Carson Way
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-8401
- Practice Country
- US
- Practice Phone
- (607) 239-7247
- Enumeration Date
- October 13, 2010
- Last Updated
- January 02, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)