Healthcare Provider Details

I. General information

NPI: 1689593360
Provider Name (Legal Business Name): ELLEN OH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 N ALMA SCHOOL RD STE E
CHANDLER AZ
85224-4363
US

IV. Provider business mailing address

12681 E CORTEZ DR
SCOTTSDALE AZ
85259-3411
US

V. Phone/Fax

Practice location:
  • Phone: 480-571-5541
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: