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DOMINIQUE ELLISON
NPI 1144754482
Counselor - Mental Health in Shreveport, LA

Active since April 13, 2017
301 DALZELL ST, SHREVEPORT, LA 71104(318) 200-9156 Get Directions Write a Review

NPPES record last updated: April 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dominique Ellison NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE ELLISON (NPI 1144754482) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1144754482
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDOMINIQUE ELLISON
Location Address301 DALZELL STShreveport, LA 71104-2431
Mailing Address301 Dalzell StShreveport, LA 71104-2431 · (318) 200-9156
Phone(318) 200-9156
Sole ProprietorYes
Enumeration DateApril 13, 2017
✔ NPI 1144754482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
301 DALZELL ST, Shreveport, LA 71104
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Ellison's NPI number?

The NPI number for Dominique Ellison is 1144754482. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Dominique Ellison located?

Dominique Ellison practices at 301 Dalzell St, Shreveport, LA 71104. The listed phone number is (318) 200-9156.

What is Dominique Ellison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dominique Ellison was last updated on April 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.