Black, Ellyn Marie
Black, Ellyn Marie is an individual health care provider with primary practice located at 5005 N Piedras St 11 W Family Advocacy, El Paso TX 79920-5001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Black, Ellyn Marie can be contacted via phone (915) 569-2800.Contact Information
Primary practice address
5005 N Piedras St 11 W Family Advocacy
El Paso TX 79920-5001
Phone: (915) 569-2800
Fax: (915) 569-1553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 26306 | Texas |
Profile Details
| NPI number | 1558418939 |
|---|---|
| LBN Legal business name | Black, Ellyn Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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