Ellis, Lisa Berry
Ellis, Lisa Berry is an sole proprietor health care provider with primary practice located at 1400 Buford Hwy Suite G-7, Buford GA 30518-8721. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellis, Lisa Berry can be contacted via phone (404) 401-7715.Contact Information
Primary practice address
1400 Buford Hwy Suite G-7
Buford GA 30518-8721
Phone: (404) 401-7715
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW002706 | Georgia |
Profile Details
| NPI number | 1700189842 |
|---|---|
| LBN Legal business name | Ellis, Lisa Berry |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2010 |
| Last updated | Aug 17th, 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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