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

Brandy A Ellis

Individual provider Counselor · NPI 1396473492

Brandy A Ellis is a Counselor in Laurel, Mississippi. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

119 S 12th Ave
Laurel, MS 39440-4322
Phone: (601) 342-8215
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1396473492
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2022
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022
Mailing address860 E River Pl Ste 100, Jackson, MS 39202-3442

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