Most Relevant Information
Provider Data
| NPI Number: | 1003353772 |
| Provider Name: | JOEY WAYNE ELLIS MA, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 73744 |
Most Important Dates
| Enumeration Date: | 01/19/2017 |
| Last Updated: | 01/19/2017 |
Provider Practice Location
2688 SNOW RD
KEMPNER
TX
765396838
Practice Location Phone/Fax
| Phone: | 2544155270 |
| Fax: |
Provider Mailing Location
2688 SNOW RD
KEMPNER
TX
765396838
Provider Mailing Phone/Fax
| Phone: | 2544155270 |
| Fax: |