Ellis, Sherell

Ellis, Sherell is an individual health care provider with primary practice located at 2100 Central Ave Ste D1 , Augusta GA 30904-6709. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ellis, Sherell can be contacted via phone (706) 843-6241.

Contact Information

Primary practice address
2100 Central Ave Ste D1 Augusta GA 30904-6709
Phone: (706) 843-6241
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC008669 Georgia
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Georgia

Profile Details

NPI number 1093169369
LBN Legal business name Ellis, Sherell
Credentials LPC; BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2016
Last updated Jul 20th, 2022 - about 2 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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