Eller, Shannon M
Eller, Shannon M is an individual health care provider with primary practice located at 1815 N Expressway Ste B , Griffin GA 30223-1185. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Eller, Shannon M can be contacted via phone (678) 408-4622.Contact Information
Primary practice address
1815 N Expressway Ste B
Griffin GA 30223-1185
Phone: (678) 408-4622
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC005894 | Georgia |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT001231 | Georgia |
Profile Details
NPI number | 1679809016 |
---|---|
LBN Legal business name | Eller, Shannon M |
Credentials | LPC, CCADC, NCC, CSS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 20th, 2009 |
Last updated | Apr 3rd, 2019 - about 6 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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