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

Shannon Noel Ellis, LICDC162092

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1487165858

Shannon Noel Ellis, LICDC162092 is an Addiction (Substance Use Disorder) Counselor in Coal Grove, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958
Phone: (740) 237-4981
Fax: (877) 325-2816
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 162092 (OH)

Record details

NPI number1487165858
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICDC162092
Sole proprietorNo
NPI enumeratedOctober 12, 2017
Last updated in NPPESJune 15, 2025
Certification dateJune 15, 2025

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