Ellis, Carol A

Ellis, Carol A is an sole proprietor health care provider with primary practice located at 813 S Northshore Dr Ste 105 , Knoxville TN 37919-7594. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Ellis, Carol A can be contacted via phone (865) 558-5884.

Contact Information

Primary practice address
813 S Northshore Dr Ste 105 Knoxville TN 37919-7594
Phone: (865) 558-5884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 592 North Carolina

Profile Details

NPI number 1386692747
LBN Legal business name Ellis, Carol A
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Aug 22nd, 2008 - about 18 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 1386692747 NPPES
North Carolina Other 135YF BCBSNC

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