MEDICARE: ANDREA ELLIS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C.0700234.TEMP	OH

General Provider Information

NPI Number	:	1699902775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA ELLIS PC

Provider Business Mailing Address
First Line	:	1875 N RIDGE RD E
Second Line	:
City	:	LORAIN
State	:	OH
Zip	:	44055-3371
Country	:	US
Telephone Number	:	440-260-6108
Fax Number	:	440-240-0193

Provider Business Practice Location Address
First Line	:	1875 N RIDGE RD E
Second Line	:
City	:	LORAIN
State	:	OH
Zip	:	44055-3371
Country	:	US
Telephone Number	:	440-260-6108
Fax Number	:	440-240-0193

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	06/16/2009

Similar Medicare Providers

1811982341 — BETH A KISER DC
Practice Location Address:

1875 N RIDGE RD E , STE. A
LORAIN, OH
44055-3371

Practice Phone: 440-277-9355
Practice Fax: 440-277-9393

1376792762 — DR BETH A BRONEMANN INC
Practice Location Address:

1875 N RIDGE RD E , STE. A
LORAIN, OH
44055-3371

Practice Phone: 440-277-9355
Practice Fax:

1194956383 — TELOS FOUNDATION INC
Practice Location Address:

1875 N RIDGE RD E , SUITE K
LORAIN, OH
44055-3371

Practice Phone: 440-277-1112
Practice Fax: 440-277-1109

1013870781 — SHARELL MCCLOUD
Practice Location Address:

1950 E 41ST ST
LORAIN, OH
44055-2612

Practice Phone: 586-251-9538
Practice Fax:

1588528996 — CHARLOTTE LEWIS
Practice Location Address:

1865 N RIDGE RD E
LORAIN, OH
44055-3300

Practice Phone: 440-324-5701
Practice Fax:

1447255625 — DR. VIVIAN R SUICO M.D.
Practice Location Address:

3745 GROVE AVE
LORAIN, OH
44055-2734

Practice Phone: 440-240-1655
Practice Fax: 440-245-1218

Directions to “ ANDREA ELLIS PC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.