Most Relevant Information
Provider Data
| NPI Number: | 1003302654 |
| Provider Name: | ALEX DONCHEVEL ELLIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/06/2018 |
| Last Updated: | 07/06/2018 |
Provider Practice Location
230 VENTURE CIR
NASHVILLE
TN
372281604
Practice Location Phone/Fax
| Phone: | 6154604100 |
| Fax: |
Provider Mailing Location
230 VENTURE CIR
NASHVILLE
TN
372281604
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |