DERRICK ELLIS
NPI 1982475125
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since January 15, 2024
155 BIMINI PL, LOS ANGELES, CA 90004(213) 388-5423 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derrick Ellis NPPES

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

DERRICK ELLIS (NPI 1982475125) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1982475125
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDERRICK ELLIS
Location Address155 BIMINI PLLos Angeles, CA 90004-5902
Mailing Address155 Bimini PlLos Angeles, CA 90004-5902 · (213) 388-5423
Sole ProprietorNo
Enumeration DateJanuary 15, 2024
NPPES CertifiedJanuary 15, 2024
NPI 1982475125 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
155 BIMINI PL, Los Angeles, CA 90004

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982475125, enumerated as an "individual" on January 15, 2024.

The provider is located at 155 BIMINI PL LOS ANGELES, CA 90004 and the phone number is (213) 388-5423.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).