Ellington, Evelyn Nicole

Ellington, Evelyn Nicole is an individual health care provider with primary practice located at 122 N Avondale Rd Ste 200 , Avondale Estates GA 30002-1307. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ellington, Evelyn Nicole can be contacted via phone (404) 478-3016.

Contact Information

Primary practice address
122 N Avondale Rd Ste 200 Avondale Estates GA 30002-1307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 1628767 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APC007822 Georgia

Profile Details

NPI number 1518642990
LBN Legal business name Ellington, Evelyn Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2023
Last updated Jun 21st, 2023 - about last year

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.

Request for update

Popular Providers