MRS. LABREYIA JAVONNE ELLIS LPC
NPI 1285159301
Counselor - Professional in Philadelphia, PA
Active since August 09, 2017
About Mrs. Labreyia Javonne Ellis Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LABREYIA JAVONNE ELLIS LPC (NPI 1285159301) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC009728) and active in the NPI registry since August 2017.
NPPES Registry Identity
NPI1285159301
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. LABREYIA JAVONNE ELLISCredential: LPC
Location Address7901 HENRY AVE APT G406Philadelphia, PA 19128-6091
Mailing Address7901 Henry Ave Apt G406Philadelphia, PA 19128-6091 · 14846860390 · Fax (148) 468-6039
Phone14846860390
Fax(148) 468-6039
Sole ProprietorYes
Enumeration DateAugust 9, 2017
✔ NPI 1285159301 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC009728
7901 HENRY AVE APT G406, Philadelphia, PA 19128
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285159301, enumerated as an "individual" on August 09, 2017.
The provider is located at 7901 HENRY AVE APT G406 PHILADELPHIA, PA 19128 and the phone number is .
Counselor with taxonomy code 101YP2500X and a focus in Professional.
