Allen, Ellisa Vinzant

Allen, Ellisa Vinzant is an sole proprietor health care provider with primary practice located at 4120 Clemson Blvd , Anderson SC 29621-1176. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Allen, Ellisa Vinzant can be contacted via phone (662) 364-0465.

Contact Information

Primary practice address
4120 Clemson Blvd Anderson SC 29621-1176
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 67753 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11675 South Carolina

Profile Details

NPI number 1730796905
LBN Legal business name Allen, Ellisa Vinzant
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2020
Last updated Sep 30th, 2020 - about 6 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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