Ellis, Mary Linda
Ellis, Mary Linda is an sole proprietor health care provider with primary practice located at 2070 Buford Hwy Ste 2-D, Buford GA 30518-6079. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ellis, Mary Linda can be contacted via phone (770) 271-9442.Contact Information
Primary practice address
2070 Buford Hwy Ste 2-D
Buford GA 30518-6079
Phone: (770) 271-9442
Fax: (770) 271-8939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 003585 | Georgia |
Profile Details
| NPI number | 1003964131 |
|---|---|
| LBN Legal business name | Ellis, Mary Linda |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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