Provider Demographics
NPI:1861866626
Name:RITCHEY, ELLEN (LMSW)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:RITCHEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 SUTHERLAND AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-2337
Mailing Address - Country:US
Mailing Address - Phone:865-622-7116
Mailing Address - Fax:865-622-2740
Practice Address - Street 1:2210 SUTHERLAND AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-2337
Practice Address - Country:US
Practice Address - Phone:865-622-7116
Practice Address - Fax:865-622-2740
Is Sole Proprietor?:No
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000010559101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health