Ellis, Amanda

Ellis, Amanda is an sole proprietor health care provider with primary practice located at 21545 Centre Pointe Pkwy , Santa Clarita CA 91350-2947. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ellis, Amanda can be contacted via phone (661) 259-9439.

Contact Information

Primary practice address
21545 Centre Pointe Pkwy Santa Clarita CA 91350-2947
Phone: (661) 259-9439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C034270315 California

Profile Details

NPI number 1780145029
LBN Legal business name Ellis, Amanda
Credentials CADC-CAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2019
Last updated Nov 7th, 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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