Ellison, Lila Elizabeth

Ellison, Lila Elizabeth is an sole proprietor health care provider with primary practice located at 1207 S Cox St Suite C, Asheboro NC 27203-6911. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellison, Lila Elizabeth can be contacted via phone (336) 318-2757.

Contact Information

Primary practice address
1207 S Cox St Suite C Asheboro NC 27203-6911
Phone: (336) 318-2757
Fax: (336) 318-2761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C002603 North Carolina

Profile Details

NPI number 1659413078
LBN Legal business name Ellison, Lila Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Apr 25th, 2008 - about 16 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 1659413078 NPPES
North Carolina Other 408630 MHN
North Carolina Other FH5000450 MHN
North Carolina Other 147AP MHN
North Carolina MEDICAID 6005172 MHN

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