Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTISON LANIER ELLIS, LPC
Active Sole ProprietorProfessional Counselor · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1851461917
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2006 (19.450454306596 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1112 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8829 CENTRE STSUITE 105SOUTHAVEN, MS, 386712610Browse MS providers · Browse ZIP 38671
- Phone
- 6622806777
- Fax
- 6622806775
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH LINEBARGER STOREY | LPC | 1437114980 |
| MELISSA M SISCO | LPC | 1700830122 |
| MAE C YOUNG | ED.S. | 1598865339 |
| DR. MARILYN S SNOW | PH.D. ,LPC | 1003917535 |
| MISS JESSICA IRENE STOCKMAN | LPC | 1982795290 |
| DR. RUTH OUZTS CASH | PH.D., NCC, LPC | 1912057415 |
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.