Provider Demographics
NPI:1578066775
Name:KNAPP, ELLEN M (LPC, LMHC)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:M
Last Name:KNAPP
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 EASTSIDE SQ # A7
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-8818
Mailing Address - Country:US
Mailing Address - Phone:256-361-9517
Mailing Address - Fax:256-910-0807
Practice Address - Street 1:203 EASTSIDE SQ # A7
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-8818
Practice Address - Country:US
Practice Address - Phone:256-361-9517
Practice Address - Fax:256-910-0807
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-14
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003260A101YM0800X
ALAL4531101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health