Ellis, Emilie

Ellis, Emilie is an individual health care provider with primary practice located at 2195 Desmond Dr , Decatur GA 30033-4142. 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, Emilie can be contacted via phone (404) 480-3195.

Contact Information

Primary practice address
2195 Desmond Dr Decatur GA 30033-4142
Phone: (404) 480-3195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT000428 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT001793 Georgia

Profile Details

NPI number 1871944645
LBN Legal business name Ellis, Emilie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2016
Last updated Sep 8th, 2022 - about 4 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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