Elliot, Aleisha Martine

Elliot, Aleisha Martine is an sole proprietor health care provider with primary practice located at 908 2Nd Ave , Columbus GA 31901-2716. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Elliot, Aleisha Martine can be contacted via phone (706) 341-4349.

Contact Information

Primary practice address
908 2Nd Ave Columbus GA 31901-2716
Fax: (877) 876-6954
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC006632 Georgia

Profile Details

NPI number 1154688273
LBN Legal business name Elliot, Aleisha Martine
Credentials LPC, NCC, RRT, EMDR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2012
Last updated Jan 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154688273 NPPES
Georgia MEDICAID 003140958A

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