Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellis Counseling Services PLLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1427838697

Ellis Counseling Services PLLC is an Addiction (Substance Use Disorder) Counselor in Fayetteville, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3605 Camson Rd
Fayetteville, NC 28306-3743
Phone: (910) 391-4520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1427838697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mazie Ellis — Licensed Clinical Social Worker · (910) 391-4520
Other names Revive, Renew And Restore Counseling Services
NPI enumeratedOctober 4, 2023
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing address3605 Camson Rd, Fayetteville, NC 28306-3743

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