OrganizationActive
Ellis Psychiatry, LLC
NPI 1447182878 · Adult Mental Health Clinic/Center · Kingsport, TN
Provider details
- NPI number
- 1447182878
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stefani Ellis, Nurse Practitioner, Owner(423) 915-6284
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1880 N Eastman Rd Ste 130
Kingsport, TN 37664-2385
Phone: (423) 915-6765
Fax: (205) 880-9514
Approximate (ZIP-level) locationGet directions
Mailing address
3833 Cimarron Dr
Kingsport, TN 37664-3917
Registry dates
- Enumerated
- 2026-06-01
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.