Ellis, Mattison Lanier
Ellis, Mattison Lanier is an sole proprietor health care provider with primary practice located at 8829 Centre St Suite 105, Southaven MS 38671-2610. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Ellis, Mattison Lanier can be contacted via phone (662) 280-6777.Contact Information
Primary practice address
8829 Centre St Suite 105
Southaven MS 38671-2610
Phone: (662) 280-6777
Fax: (662) 280-6775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1112 | Mississippi |
Profile Details
| NPI number | 1851461917 |
|---|---|
| LBN Legal business name | Ellis, Mattison Lanier |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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