ALICIA MICHELLE ELLIS (NPI# 1346677077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346677077 |
| Entity Type | Individual |
| Full Name | ALICIA MICHELLE ELLIS |
| Credential | ED.D., LPC-MHSP |
| Practice Address |
10543 Cedar Grove Rd Smyrna TN 37167-6525 |
| Practice Telephone | 6159056321 |
| Mailing Telephone | 6159056321 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2938 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q034586 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 275 Cumberland Bnd, Nashville, TN 372281805 | 6157263340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699223487 | Alicia Ellis | Nurse Practitioner | 200 New York Ave Ste 150, Oak Ridge, TN 37830-5227 | 2016-09-21 |
| Street Address |
10543 CEDAR GROVE RD |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167-6525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952601213 | Alesha Nicole Martin | Social Worker | 10543 Cedar Grove Rd, Suite 130, Smyrna, TN 37167-6525 | 2010-11-02 |
| 1912290867 | Kate N Sjostrom | Social Worker | 10543 Cedar Grove Rd, Smyrna, TN 37167-6525 | 2011-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
| 1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
| 1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
| 1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
| Find all providers in zip 37167 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576865 | Therapy Pond, LLC | Counselor | 1262 Concord Rd Se Ste 200, Smyrna, GA 30080-5307 | 2020-10-20 |
| 1316576598 | Victoria Counseling & Consulting, LLC | Counselor | 3059 S Cobb Dr Se, Smyrna, GA 30080-7809 | 2020-04-08 |
| 1932735495 | Thomas W Jones IIi | Counselor | 5182 Afton Way Se, Smyrna, GA 30080-2669 | 2020-03-17 |
| 1326508078 | Davonna Ashley Scott | Counselor | 1402 Vinings Trl Se, Smyrna, GA 30080-8642 | 2019-03-20 |
| 1003386400 | Jarrod Keith Harris | Counselor | 5199 Whiteoak Ave Se, Smyrna, GA 30080-7424 | 2018-11-28 |
| 1285101196 | Jennifer Allen | Counselor | 3010 Denny Brooke Ln, Smyrna, TN 37167-3968 | 2018-10-29 |
| 1154809192 | Gloria Jean Fisher | Counselor | 2722 Cottesford Dr Se, Smyrna, GA 30080-2188 | 2018-08-01 |
| 1851877369 | Robyn N Minefee | Counselor | 2642 Davenport St Se, Smyrna, GA 30080-2303 | 2018-07-17 |
| 1326537051 | Fatimah N Muhammad | Counselor | 2067 Lake Park Dr Se Apt G, Smyrna, GA 30080-7628 | 2018-05-08 |
| 1316443237 | Ashley L Heggins | Counselor | 5056 Laurel Bridge Dr Se, Smyrna, GA 30082-4833 | 2018-03-30 |
| Find all providers in SMYRNA | ||||
Please comment or provide details below to improve the information on ALICIA MICHELLE ELLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.