Provider Demographics
NPI:1427353705
Name:WARRICK, FORD ELLIS JR (LPC)
Entity type:Individual
Prefix:MR
First Name:FORD
Middle Name:ELLIS
Last Name:WARRICK
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5508 RETRIEVER CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-9496
Mailing Address - Country:US
Mailing Address - Phone:336-908-5961
Mailing Address - Fax:
Practice Address - Street 1:5508 RETRIEVER CT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-9496
Practice Address - Country:US
Practice Address - Phone:336-908-5961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional