MRS. TIERRA DOMONIQUE ELLISON LPC
NPI 1912786393
Counselor - Mental Health in Norfolk, VA

Active since September 26, 2023
7460 CENTRAL BUSINESS PARK DR, NORFOLK, VA 23513(757) 644-6391(757) 622-2011 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Tierra Domonique Ellison Lpc NPPES

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

MRS. TIERRA DOMONIQUE ELLISON LPC (NPI 1912786393) is an individual mental health provider in Norfolk, Virginia, licensed in Virginia (0701012890) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1912786393
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. TIERRA DOMONIQUE ELLISONCredential: LPC
Location Address7460 CENTRAL BUSINESS PARK DRNorfolk, VA 23513-2818
Mailing Address7460 Central Business Park DrNorfolk, VA 23513-2818 · (757) 644-6391 · Fax (757) 622-2011
Fax(757) 622-2011
Sole ProprietorNo
Enumeration DateSeptember 26, 2023
Last NPPES UpdateOctober 5, 2023
NPPES CertifiedOctober 5, 2023
NPI 1912786393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in VA · 0701012890
7460 CENTRAL BUSINESS PARK DR, Norfolk, VA 23513

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
7460 CENTRAL BUSINESS PARK DR
NORFOLK, VA 23513
Counselor (Professional)
7460 CENTRAL BUSINESS PARK DR
NORFOLK, VA 23513
Counselor (Professional)
7460 CENTRAL BUSINESS PARK DR
NORFOLK, VA 23513
Social Worker (Clinical)
7460 CENTRAL BUSINESS PARK DR
NORFOLK, VA 23513
Counselor (Professional)
7460 CENTRAL BUSINESS PARK DR
NORFOLK, VA 23513
Behavior Analyst
7460 CENTRAL BUSINESS PARK DR
NORFOLK, VA 23513
Counselor (Professional)
7460 CENTRAL BUSINESS PARK DR
NORFOLK, VA 23513
Counselor (Professional)
7460 CENTRAL BUSINESS PARK DR
NORFOLK, VA 23513

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 Tierra Ellison's NPI number?

The NPI number for Tierra Ellison is 1912786393. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Tierra Ellison located?

Tierra Ellison practices at 7460 Central Business Park Dr, Norfolk, VA 23513. The listed phone number is (757) 644-6391.

What is Tierra 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 Tierra Ellison was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.