Ellis, Holly

Ellis, Holly is an individual health care provider with primary practice located at 107 Carpenter Dr Ste 210 , Sterling VA 20164-4468. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellis, Holly can be contacted via phone (703) 297-4368.

Contact Information

Primary practice address
107 Carpenter Dr Ste 210 Sterling VA 20164-4468
Phone: (703) 297-4368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810004210 Virginia

Profile Details

NPI number 1912555095
LBN Legal business name Ellis, Holly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2019
Last updated Aug 31st, 2019 - about 5 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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