IndividualActive
Angela Elllis
NPI 1457129264 · School Counselor · Vicksburg, MS
Provider details
- NPI number
- 1457129264
- Entity type
- Individual
- Primary specialty
- School CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 159347 (MS)
Practice location
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Phone: (601) 638-0031
Fax: (601) 638-1778
Mailing address
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Registry dates
- Enumerated
- 2023-12-12
- Last updated
- 2023-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.