Ellis, Angela Leslie
Ellis, Angela Leslie is an individual health care provider with primary practice located at 100 Crescent Center Pkwy Suite 1290, Tucker GA 30084-7060. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ellis, Angela Leslie can be contacted via phone (770) 621-0479.Contact Information
Primary practice address
100 Crescent Center Pkwy Suite 1290
Tucker GA 30084-7060
Phone: (770) 621-0479
Fax: (770) 621-0466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC005488 | Georgia |
Profile Details
| NPI number | 1306070958 |
|---|---|
| LBN Legal business name | Ellis, Angela Leslie |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2009 |
| Last updated | May 12th, 2009 - about 17 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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