Elliott, Russell

Elliott, Russell is an sole proprietor health care provider with primary practice located at 18051 Fm 2015 , Tyler TX 75706-3130. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Elliott, Russell can be contacted via phone (308) 430-8087.

Contact Information

Primary practice address
18051 Fm 2015 Tyler TX 75706-3130
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 60332 Texas

Profile Details

NPI number 1942861547
LBN Legal business name Elliott, Russell
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2019
Last updated Jun 25th, 2019 - about 7 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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