Healthcare Provider Details

I. General information

NPI: 1972801553
Provider Name (Legal Business Name): ELLEN ALYCE TRAPPEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2011
Last Update Date: 03/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 S ST NW
WASHINGTON DC
20009-6107
US

IV. Provider business mailing address

1716 S ST NW
WASHINGTON DC
20009-6145
US

V. Phone/Fax

Practice location:
  • Phone: 202-234-7738
  • Fax:
Mailing address:
  • Phone: 601-400-2651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC14116
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC3706
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: