Ellis, Keva
Ellis, Keva is an sole proprietor health care provider with primary practice located at 6815 W Fayetteville Rd , Riverdale GA 30296-2528. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ellis, Keva can be contacted via phone (281) 236-6762.Contact Information
Primary practice address
6815 W Fayetteville Rd
Riverdale GA 30296-2528
Phone: (281) 236-6762
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC010433 | Georgia |
Profile Details
| NPI number | 1801414578 |
|---|---|
| LBN Legal business name | Ellis, Keva |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2020 |
| Last updated | Jun 27th, 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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