Elliott, Shantae
Elliott, Shantae is an individual health care provider with primary practice located at 3037 Lemonade Ln , Upper Marlboro MD 20774-2736. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Elliott, Shantae can be contacted via phone (240) 324-7535.Contact Information
Primary practice address
3037 Lemonade Ln
Upper Marlboro MD 20774-2736
Phone: (240) 324-7535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LGP6351 | Maryland |
Profile Details
| NPI number | 1760865091 |
|---|---|
| LBN Legal business name | Elliott, Shantae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2015 |
| Last updated | Feb 27th, 2026 - about 8 months 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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