Smith, Amanda Ellis
Smith, Amanda Ellis is an sole proprietor health care provider with primary practice located at 311 Pierce Ave , Macon GA 31204-2421. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Amanda Ellis can be contacted via phone (478) 742-1775.Contact Information
Primary practice address
311 Pierce Ave
Macon GA 31204-2421
Phone: (478) 742-1775
Fax: (478) 742-1779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW002818 | Georgia |
Profile Details
| NPI number | 1669451423 |
|---|---|
| LBN Legal business name | Smith, Amanda Ellis |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jul 8th, 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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