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Provider Information for 1528193554


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Mrs. LAURA BUDD ELLINGTON LCSW


Sex: Female

NPI: 1528193554
Last Updated: 2024-11-13
Certification Date: 2024-11-13

Details

NameValue
NPI1528193554
Enumeration Date2007-02-22
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 220 5TH AVE E
HENDERSONVILLE, NC 28792-4377
United States

Phone: 828-692-4289 | Fax:828-696-1794
 
Primary Practice Address 161 WALKER ST
COLUMBUS, NC 28722-9433
United States

Phone: 828-894-2222 | Fax:828-894-2229
 
Secondary Practice Address(es)

701 GROVE RD
SUITE 200
GREENVILLE, SC 29605-4210
United States

Phone: 864-455-8431 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalSC6270
Yes 1041C0700X - Social Worker - ClinicalNCC005264