Thomas, Ellen Super
Thomas, Ellen Super is an sole proprietor health care provider with primary practice located at 783 Creek Glen Rd , Mableton GA 30126-2797. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Thomas, Ellen Super can be contacted via phone (404) 840-8234.Contact Information
Primary practice address
783 Creek Glen Rd
Mableton GA 30126-2797
Phone: (404) 840-8234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC011541 | Georgia |
Profile Details
| NPI number | 1417656323 |
|---|---|
| LBN Legal business name | Thomas, Ellen Super |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2023 |
| Last updated | Feb 28th, 2023 - 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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