Ellis, Jennifer

Ellis, Jennifer is an individual health care provider with primary practice located at 1110 13Th St , Columbus GA 31901-2246. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Ellis, Jennifer can be contacted via phone (706) 780-1704.

Contact Information

Primary practice address
1110 13Th St Columbus GA 31901-2246
Phone: (706) 780-1704
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1952577603
LBN Legal business name Ellis, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2008
Last updated Apr 6th, 2021 - about 3 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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