Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DARRELL LEMONT ELLIS JR., ADMINISTRATOR
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · MARICOPA, AZ
Registration Details
- NPI Number
- 1174925424
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2014 (11.591897535477 yrs)
- Last Updated
- Dec 6, 2025
- License
-
BHRF20103 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
43646 W YUCCA LNMARICOPA, AZ, 851382011Browse AZ providers · Browse ZIP 85138
- Phone
- 5204834219
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Other Residential Treatment, Emotionally Disturbed Children Providers in MARICOPA, AZ
| Name | Credential | NPI |
|---|---|---|
| TAMLA ALEXANDER | — | 1366978462 |
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.