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

Mr. Charles Wayne Ellis, CACI, MAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164763777

Mr. Charles Wayne Ellis, CACI, MAC is an Addiction (Substance Use Disorder) Counselor in Rock Hill, South Carolina. Licensed in South Carolina. Registered with an NPI since 2013.

Licensed in
SC
In the registry since
2013

Practice location Address checks out

199 S Herlong Ave
Rock Hill, SC 29732-1186
Phone: (803) 324-1800
Fax: (803) 328-3831
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1211149 (SC)

Record details

NPI number1164763777
Entity typeIndividual (Type 1)
GenderMale
Credentials CACI , MAC
Sole proprietorNo
NPI enumeratedMarch 6, 2013
Last updated in NPPESMarch 6, 2013

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