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:
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Health care specialties

SpecialtyCodeLicense #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 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326002379 NPPES
Other 033901 VALUE OPTIONS
Other 52492483-001 VALUE OPTIONS

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