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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TIERRA DOMONIQUE ELLISON, LPC

Active

MRS. TIERRA DOMONIQUE ELLISON, LPC is a Mental Health Counselor healthcare provider located in NORFOLK, Virginia. NPI 1912786393 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · NORFOLK, VA

Registration Details

NPI Number
1912786393
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2023 (2.8506292378148 yrs)
Last Updated
Oct 5, 2023
License
0701012890 (VA)

Practice Information

Address
7460 CENTRAL BUSINESS PARK DR
NORFOLK, VA, 235132818
Browse VA providers · Browse ZIP 23513
Phone
7576446391
Fax
7576222011
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in NORFOLK, VA

Name Credential NPI
MRS. DOROLYN LINK ALPER LPC 1972597243
SHEILA R. MCELMURRY LCSW 1982634770
MARY HERBERT DALY LCSW 1548293269
SUSAN D. HAUGH LCSW 1144253329
DORIS MITNICK LCSW 1952335648
JEANNE F. DOUCETTE L.C.S.W. 1437183860
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.