Ellisaddie, Monifa

Ellisaddie, Monifa is an sole proprietor health care provider with primary practice located at 1012 Battersea Pl , Locust Grove GA 30248-2077. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Ellisaddie, Monifa can be contacted via phone (818) 925-0569.

Contact Information

Primary practice address
1012 Battersea Pl Locust Grove GA 30248-2077
Phone: (818) 925-0569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 132372 California

Profile Details

NPI number 1184337941
LBN Legal business name Ellisaddie, Monifa
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2022
Last updated Dec 26th, 2022 - about 4 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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