Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MAVONNA MARIE ELLIS, PHD
ActiveMental Health Counselor · STILLWATER, OK
Registration Details
- NPI Number
- 1124064233
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2006 (19.867407870784 yrs)
- Last Updated
- Oct 15, 2008
- License
-
3974 (OK)
Practice Information
- Address
-
1616 S AUGUST STSTILLWATER, OK, 740741837Browse OK providers · Browse ZIP 74074
- Phone
- 4055640656
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in STILLWATER, OK
| Name | Credential | NPI |
|---|---|---|
| MS. LYNN MARIE SMITH | LPC | 1811029226 |
| MS. K'LYNNE MICHELE ESCOTT | LPC, M.S, B.S. | 1083734495 |
| JESSICA ENCHANA RICHARD | LPC | 1043330988 |
| MR. STEPHEN SCOTT | L.B.P. | 1962615724 |
| MISS BROOKE LEIGH BRUNKEN | LPC | 1487868931 |
| MRS. REBECCA LEANN SLOAN | — | 1376749523 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.