Upshaw, Zella Mae

Upshaw, Zella Mae is an sole proprietor health care provider with primary practice located at 911 N Tennessee St Suite 210, Cartersville GA 30120-8514. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Upshaw, Zella Mae can be contacted via phone (404) 384-5482.

Contact Information

Primary practice address
911 N Tennessee St Suite 210 Cartersville GA 30120-8514
Phone: (404) 384-5482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC005262 Georgia

Profile Details

NPI number 1710279971
LBN Legal business name Upshaw, Zella Mae
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2011
Last updated Sep 2nd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710279971 NPPES
Georgia MEDICAID 003111483A

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