De La Rosa, Ivelise

De La Rosa, Ivelise is an individual health care provider with primary practice located at 270 Carpenter Dr , Sandy Springs GA 30328-4931. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. De La Rosa, Ivelise can be contacted via phone (678) 460-0345.

Contact Information

Primary practice address
270 Carpenter Dr Sandy Springs GA 30328-4931
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1700392107
LBN Legal business name De La Rosa, Ivelise
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2017
Last updated Dec 20th, 2017 - about 7 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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