Ely, Rene J
Ely, Rene J is an individual health care provider with primary practice located at 1790 Century Blvd Ne Ste A , Atlanta GA 30345-3322. 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. Ely, Rene J can be contacted via phone (404) 671-9226.Contact Information
Primary practice address
1790 Century Blvd Ne Ste A
Atlanta GA 30345-3322
Phone: (404) 671-9226
Fax: (770) 978-7676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT000908 | Georgia |
Profile Details
| NPI number | 1093854853 |
|---|---|
| LBN Legal business name | Ely, Rene J |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jan 17th, 2024 - about 11 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093854853 | NPPES |
| Georgia | MEDICAID | 799255930A |
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