STEPHEN C ELLISON LCDC
NPI 1295544195
Counselor - Addiction (Substance Use Disorder) in Midland, TX
Active since January 06, 2025
About Stephen C Ellison Lcdc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN C ELLISON LCDC (NPI 1295544195) is an individual addiction (substance use disorder) provider in Midland, Texas, licensed in Texas (15284) and active in the NPI registry since January 2025.
NPPES Registry Identity
NPI1295544195
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSTEPHEN C ELLISONCredential: LCDC
Location Address444 W PINE AVEMidland, TX 79705-6634
Mailing AddressPo Box 10302Midland, TX 79702-7302 · (432) 880-6801
Phone(432) 880-6801
Sole ProprietorYes
Enumeration DateJanuary 6, 2025
Last NPPES UpdateAugust 16, 20252 updates tracked since enumeration
NPPES CertifiedAugust 16, 2025
✔ NPI 1295544195 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in TX · 15284
444 W PINE AVE, Midland, TX 79705
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295544195, enumerated as an "individual" on January 06, 2025.
The provider is located at 444 W PINE AVE MIDLAND, TX 79705 and the phone number is (432) 880-6801.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
