Ellis, Catherine L

Ellis, Catherine L is an individual health care provider with primary practice located at 1921 Ransom Pl , Nashville TN 37217-3841. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Ellis, Catherine L can be contacted via phone (615) 279-6700.

Contact Information

Primary practice address
1921 Ransom Pl Nashville TN 37217-3841
Phone: (615) 279-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7189 Tennessee
Behavioral Health & Social Service Providers / Counselor 101Y00000X 33005185A Indiana

Profile Details

NPI number 1457485765
LBN Legal business name Ellis, Catherine L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Feb 7th, 2020 - about 6 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 1457485765 NPPES
Indiana MEDICAID 100270530A

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