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

Mr. Corey Jason Ellison, LPCA

Individual provider Mental Health Counselor · NPI 1164769964

Mr. Corey Jason Ellison, LPCA is a Mental Health Counselor in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.

Licensed in
NC
In the registry since
2013

Practice location Address checks out

145 Scaleybark Rd
Charlotte, NC 28209-2687
Phone: (704) 608-3886
Fax: (704) 536-6030
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A9913 (NC)

Record details

NPI number1164769964
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCA
Sole proprietorNo
NPI enumeratedJanuary 14, 2013
Last updated in NPPESJanuary 14, 2013

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