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

Ellie Banner

Individual provider Marriage & Family Therapist · NPI 1255176863

Ellie Banner is a Marriage and Family Therapist in Glendale, Arizona. Qualified in 2018, 8 years ago. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2024

Practice location Address checks out

7075 W Bell Rd Ste 1
Glendale, AZ 85308-8547
Phone: (602) 669-3506
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 16137 (AZ)

Record details

NPI number1255176863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2024
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address7075 W Bell Rd Ste 1, Glendale, AZ 85308-8547

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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