Ellis, Keiah

Ellis, Keiah is an sole proprietor health care provider with primary practice located at 7832 Oak Creek Trl , Shreveport LA 71129-8811. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Ellis, Keiah can be contacted via phone (318) 344-3770.

Contact Information

Primary practice address
7832 Oak Creek Trl Shreveport LA 71129-8811
Phone: (318) 344-3770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1114428091
LBN Legal business name Ellis, Keiah
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2018
Last updated Feb 26th, 2018 - 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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