LARRY D. ELLIS (NPI# 1124499405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124499405 |
| Entity Type | Individual |
| Full Name | LARRY D. ELLIS |
| Practice Address |
2664 S Harper Rd Corinth MS 38834-6723 |
| Mailing Address |
20 Deer Trail Rd Selmer TN 38375-6695 |
| Practice Telephone | 6622874055 |
| Mailing Telephone | 9312090619 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376934778 | Larry D Ellis Sr. | Contractor | 2215 Steep Pine Trl, Fresno, TX 77545-8831 | 2015-02-07 |
| 1437578366 | Larry Ellis | Counselor | 11104 W Meadow Creek Dr, Milwaukee, WI 53224-5053 | 2014-04-08 |
| 1205311339 | Larry Edward Ellis | Counselor | 800 S Victoria Ave, Ventura, CA 93009-0001 | 2018-09-25 |
| 1710138771 | Larry Lamar Ellis | Pharmacist | 10 S Main St, Driggs, ID 83422-9700 | 2008-10-08 |
| 1972572576 | Larry L Ellis | Family Medicine | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2006-03-16 |
| Street Address |
2664 S HARPER RD |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-6723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194039297 | Jerry Climer | Counselor | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2010-07-30 |
| 1861007395 | Christina Dawn Briggs | Counselor | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2020-09-11 |
| 1962013664 | Hollie Dulaney Moffatt | Nurse Practitioner | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2020-08-14 |
| 1497301949 | Will Rowan | Counselor | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2019-08-12 |
| 1134693898 | Odia Shields | Counselor | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2019-01-16 |
| 1083183305 | Larry Redmond | Counselor | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2018-11-15 |
| 1194294694 | Deanna Chavez | Counselor | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2018-11-14 |
| 1275017287 | Christopher Woolum | Counselor | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2018-09-17 |
| 1518440551 | Brittany Nooner | Counselor | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2018-09-14 |
| 1558856351 | Billy Trey Rogers | Case Manager/Care Coordinator | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689201055 | Manveer Myah Dhesi | Counselor | 4845 S I 35 E Ste 100, Corinth, TX 76210-2303 | 2020-03-25 |
| 1154851046 | Abundance of Hope Counseling | Counselor | 3001 Fm 2181 Ste 100, Corinth, TX 76210-2101 | 2017-06-14 |
| 1912350786 | Jennifer Anne Crave | Counselor | 105 Oak Street, Corinth, NY 12822 | 2016-07-18 |
| 1780085662 | Arlene Settle | Counselor | 1002 Primrose Cv, Corinth, MS 38834-3800 | 2014-09-10 |
| 1972946754 | Jo Ann Wilbanks | Counselor | 102 N Cass St Ste A, Corinth, MS 38834-5725 | 2013-04-11 |
| 1104166404 | Kassandra Decker | Counselor | 1904 Oak Ln, Corinth, MS 38834-2760 | 2013-02-22 |
| 1013257781 | Ashley L Saulter | Counselor | 311 South Cass Street, Corinth, MS 38834 | 2013-02-18 |
| 1659630689 | Bari J Bannister | Counselor | 96 Stark Rd, Corinth, NY 12822-2300 | 2012-05-11 |
| 1881994572 | Mica Nicole Rickman | Counselor | 401 New Hope Dr, Corinth, MS 38834-7458 | 2010-10-27 |
| 1295049294 | Misty Weaver | Counselor | 301 S Cass St, Corinth, MS 38834-6109 | 2010-08-02 |
| Find all providers in CORINTH | ||||
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| 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.