Healthcare Provider Details

I. General information

NPI: 1538679725
Provider Name (Legal Business Name): ELLIE ANNE MESSINGER-ADAMS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 VIA VERA CRUZ STE 255
SAN MARCOS CA
92078-2642
US

IV. Provider business mailing address

334 VIA VERA CRUZ STE 255
SAN MARCOS CA
92078-2642
US

V. Phone/Fax

Practice location:
  • Phone: 760-428-1239
  • Fax:
Mailing address:
  • Phone: 760-428-1239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14196
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: