1780777961 NPI number — MRS. LOGAN ELLINGTON-HARRISON LCSW

Table of content: DR. ANGELINA MARIE PELLETIER PSYD (NPI 1285251207)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780777961 NPI number — MRS. LOGAN ELLINGTON-HARRISON LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ELLINGTON-HARRISON
Provider First Name:
LOGAN
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780777961
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
116 DUNBAR DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUFFOLK
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23434-8018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-537-3414
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
135 S SARATOGA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUFFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23434-5322
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-942-1985
Provider Business Practice Location Address Fax Number:
757-925-2213
Provider Enumeration Date:
10/02/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  0904005852 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 010105439 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010105366 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0101079519 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".