Ellis, Linda
Ellis, Linda is an sole proprietor health care provider with primary practice located at 48 Haralson Pl Suite 3, Blairsville GA 30512-3087. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ellis, Linda can be contacted via phone (706) 781-2661.Contact Information
Primary practice address
48 Haralson Pl Suite 3
Blairsville GA 30512-3087
Phone: (706) 781-2661
Fax: (706) 781-2661
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC1578 | Georgia |
Profile Details
NPI number | 1326002379 |
---|---|
LBN Legal business name | Ellis, Linda |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 14th, 2006 |
Last updated | Jan 6th, 2014 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326002379 | NPPES |
Other | 033901 | VALUE OPTIONS | |
Other | 52492483-001 | VALUE OPTIONS |
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