Ellis, Mariah Ashley
Ellis, Mariah Ashley is an individual health care provider with primary practice located at 530 W Fir Ave , Fergus Falls MN 56537-1364. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ellis, Mariah Ashley can be contacted via phone (218) 998-8166.Contact Information
Primary practice address
530 W Fir Ave
Fergus Falls MN 56537-1364
Phone: (218) 998-8166
Fax: (218) 998-8150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 305466 | Minnesota |
Profile Details
| NPI number | 1700439403 |
|---|---|
| LBN Legal business name | Ellis, Mariah Ashley |
| Credentials | LADC, LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2019 |
| Last updated | Jul 8th, 2024 - about last year |
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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