Provider Demographics
NPI:1093354524
Name:MONEY, ELLICIA DAWN
Entity Type:Individual
Prefix:
First Name:ELLICIA
Middle Name:DAWN
Last Name:MONEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 DALLAS PKWY STE 2141032
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4362
Mailing Address - Country:US
Mailing Address - Phone:214-244-0852
Mailing Address - Fax:
Practice Address - Street 1:2108 DALLAS PKWY
Practice Address - Street 2:STE 214-302
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4362
Practice Address - Country:US
Practice Address - Phone:214-244-0852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-01
Last Update Date:2020-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63725101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health