Khalihah Ellis, CSW
Case Manager/Care Coordinator in Grenada, MS. Individual provider (NPI-1).
NPI number1124526322
StatusActive
Last updated in NPPESSep 17, 2018
Details
- NPI
- 1124526322
- Entity type
- Individual (NPI-1)
- Name
- Ms. Khalihah Ellis
- Credential
- CSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2018
- Last updated
- Sep 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
980 Fairwood DrGrenada, MS 38901-3609
Phone 662-230-2144
Mailing address
980 Fairwood DrGrenada, MS 38901-3609
Phone 662-230-2144
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