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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1093854853 NPPES
Georgia MEDICAID 799255930A

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