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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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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