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

Mrs. Tierra Domonique Ellison, LPC

Individual provider Mental Health Counselor · NPI 1912786393

Mrs. Tierra Domonique Ellison, LPC is a Mental Health Counselor in Norfolk, Virginia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

7460 Central Business Park Dr
Norfolk, VA 23513-2818
Phone: (757) 644-6391
Fax: (757) 622-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701012890 (VA)

Record details

NPI number1912786393
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedSeptember 26, 2023
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023

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