Ellison, Mark
Ellison, Mark is an sole proprietor health care provider with primary practice located at 2655 Dallas Hwy Sw Suite 310, Marietta GA 30064-2597. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Ellison, Mark can be contacted via phone (770) 856-8393.Contact Information
Primary practice address
2655 Dallas Hwy Sw Suite 310
Marietta GA 30064-2597
Phone: (770) 856-8393
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | AMFT000182 | Georgia |
Profile Details
| NPI number | 1730427063 |
|---|---|
| LBN Legal business name | Ellison, Mark |
| Credentials | LAMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2013 |
| Last updated | Jan 22nd, 2013 - about 12 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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