Anderson, Jelisa
Anderson, Jelisa is an sole proprietor health care provider with primary practice located at 3085 Fountainside Dr Ste 110 , Germantown TN 38138-7840. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Anderson, Jelisa can be contacted via phone (901) 238-8926.Contact Information
Primary practice address
3085 Fountainside Dr Ste 110
Germantown TN 38138-7840
Phone: (901) 238-8926
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3760 | Tennessee |
Profile Details
| NPI number | 1356978175 |
|---|---|
| LBN Legal business name | Anderson, Jelisa |
| Credentials | LPC-MHSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2020 |
| Last updated | Mar 23rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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