Provider Demographics
NPI:1962049734
Name:DOWN TO EARTH PROFESSIONAL COUNSELING
Entity type:Organization
Organization Name:DOWN TO EARTH PROFESSIONAL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:270-380-1810
Mailing Address - Street 1:107 BURKESVILLE ST STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728-1467
Mailing Address - Country:US
Mailing Address - Phone:270-380-1810
Mailing Address - Fax:270-380-1811
Practice Address - Street 1:107 BURKESVILLE ST STE B
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-1467
Practice Address - Country:US
Practice Address - Phone:270-380-1810
Practice Address - Fax:270-380-1811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-29
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty