Goldstein, Ellyn Laura
Goldstein, Ellyn Laura is an sole proprietor health care provider with primary practice located at 1260 Concord Rd Se Suite 102, Smyrna GA 30080-5306. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Goldstein, Ellyn Laura can be contacted via phone (770) 434-1878.Contact Information
Primary practice address
1260 Concord Rd Se Suite 102
Smyrna GA 30080-5306
Phone: (770) 434-1878
Fax: (770) 434-5009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | GA. LCSW 0930 | Georgia |
Profile Details
| NPI number | 1154445252 |
|---|---|
| LBN Legal business name | Goldstein, Ellyn Laura |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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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