Ellick, Lucretia Anastasia

Ellick, Lucretia Anastasia is an individual health care provider with primary practice located at 1441 Welton Ct , Riverdale GA 30296-3039. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Ellick, Lucretia Anastasia can be contacted via phone (404) 484-2557.

Contact Information

Primary practice address
1441 Welton Ct Riverdale GA 30296-3039
Phone: (404) 484-2557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Georgia

Profile Details

NPI number 1407613706
LBN Legal business name Ellick, Lucretia Anastasia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2024
Last updated Mar 4th, 2024 - about 2 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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