Andrea Ellis's National Provider Identifier (NPI) Details
Andrea Ellis, LGPC
NPI: 1922621051
Enumeration Date: 2020-05-23
Last updated: 2020-05-23
Sole Proprietor: NO
Status: active
Postal Address: 1110 BENFIELD BLVD, MILLERSVILLE, MD
Phone: 410-756-0035
Primary Practice Address: 13115 LARCHDALE RD APT 12, LAUREL, MD
Practice's phone: 240-595-0892