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DR. MICHAEL G. ELLISON PH.D.
NPI 1417158734
Counselor - Professional in Azle, TX

Active since May 31, 2007
11940 FM 730 N, AZLE, TX 76020(817) 444-5800(817) 444-5800 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael G. Ellison Ph.d. NPPES

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

DR. MICHAEL G. ELLISON PH.D. (NPI 1417158734) is an individual professional provider in Azle, Texas, licensed in Texas (20094) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1417158734
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. MICHAEL G. ELLISONCredential: PH.D.
Location Address11940 FM 730 NAzle, TX 76020-5442
Mailing Address11940 Fm 730 NAzle, TX 76020-5442 · (817) 444-5800 · Fax (817) 444-5800
Phone(817) 444-5800
Fax(817) 444-5800
Sole ProprietorYes
Enumeration DateMay 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417158734 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 TX · 20094
11940 FM 730 N, Azle, TX 76020
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PATTI BECHER MA, LPC
Counselor (Professional)
11940 FM 730 N
AZLE, TX 76020
Tarrant County (817) 444-5800
HOLDER WELLNESS SOLUTIONS, PLLC
Chiropractor
11940 FM 730 N
AZLE, TX 76020
Tarrant County (469) 544-4571

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 Michael Ellison's NPI number?

The NPI number for Michael Ellison is 1417158734. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Michael Ellison located?

Michael Ellison practices at 11940 Fm 730 N, Azle, TX 76020. The listed phone number is (817) 444-5800.

What is Michael Ellison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Michael Ellison was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.