Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLIS TIMOTHY CHARLES
Active Sole ProprietorELLIS TIMOTHY CHARLES is a Behavioral Health, Residential healthcare provider located in SHERIDAN, Wyoming. NPI 1871029314 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · SHERIDAN, WY
Registration Details
- NPI Number
- 1871029314
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2017 (9.3168679715406 yrs)
- Last Updated
- May 3, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
511 GLADSTONE ST511 GLADSTONE STREETSHERIDAN, WY, 828014830Browse WY providers · Browse ZIP 82801
- Phone
- 3077529082
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Other Behavioral Health, Residential Providers in SHERIDAN, WY
| Name | Credential | NPI |
|---|---|---|
| MRS. SHAUNA KAYE BOWERS | MAED | 1730310434 |
| MS. SAUNDRA FARMAN | — | 1366674954 |
| NICOLE LYNN MARNEY | — | 1235463464 |
| JAROD RAYMOND MARTIN | — | 1942537980 |
| MS. LINDA DENISE GARRETSON | — | 1548587942 |
| ALINA MARIAH MAY PLEINES | — | 1548535511 |
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.