Eddie Ellis
Eddie Ellis is a Mental Health Counselor in Fort Worth, Texas. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 4
Practice location Address checks out
420 Tierney RdFort Worth, TX 76112-6324
Phone: (817) 534-5480
Fax: (817) 534-4748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Development & Aging Psychologist (primary) | Taxonomy 103TA0700X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
| Health Service Psychologist | Taxonomy 103TH0100X |
| Intellectual & Developmental Disabilities Psychologist | Taxonomy 103TM1800X |
Record details
| NPI number | 1841400132 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 23, 2007 |
| Last updated in NPPES | September 11, 2025 |
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