Mandavi Berenji, Elham Ellie

Mandavi Berenji, Elham Ellie is an individual health care provider with primary practice located at 121 Brunnen Way , Georgetown TX 78626-2620. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mandavi Berenji, Elham Ellie can be contacted via phone (210) 717-6155.

Contact Information

Primary practice address
121 Brunnen Way Georgetown TX 78626-2620
Phone: (210) 717-6155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 82942 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15161 Texas

Profile Details

NPI number 1912501941
LBN Legal business name Mandavi Berenji, Elham Ellie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2020
Last updated Nov 30th, 2020 - about 5 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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