Ellis, Isheaba
Ellis, Isheaba is an individual health care provider with primary practice located at 1892 Manor Dr Apt D , Union NJ 07083-4512. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellis, Isheaba can be contacted via phone (862) 236-2225.Contact Information
Primary practice address
1892 Manor Dr Apt D
Union NJ 07083-4512
Phone: (862) 236-2225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC50082187 | District of Columbia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05828600 | New Jersey |
Profile Details
| NPI number | 1548896806 |
|---|---|
| LBN Legal business name | Ellis, Isheaba |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2020 |
| Last updated | Mar 19th, 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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