SHAWNA S ELLICK BS - NPI 1619189545 - Counselor in Grove, OK

The NPI number for Shawna Ellick is 1619189545. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

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

The NPPES record for Shawna Ellick was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shawna S Ellick Bs NPPES

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

SHAWNA S ELLICK BS (NPI 1619189545) is an individual mental health provider in Grove, Oklahoma and active in the NPI registry since May 2007.

NPI1619189545

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHAWNA S ELLICKCredential: BS

Location Address1115 HARBER ROADGrove, OK 74344

Mailing AddressP.o. Box 451385Grove, OK 74345 · (918) 786-4434 · Fax (918) 786-4435

Fax(918) 786-4435

Sole ProprietorNo

Enumeration DateMay 4, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619189545 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1115 HARBER ROAD, Grove, OK 74344

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

Counselor (Mental Health)