Ellis, Taryn
Ellis, Taryn is an individual health care provider with primary practice located at 1301 Bridgewater Walk , Snellville GA 30078-2086. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ellis, Taryn can be contacted via phone (404) 423-2510.Contact Information
Primary practice address
1301 Bridgewater Walk
Snellville GA 30078-2086
Phone: (404) 423-2510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | APC004509 | Georgia |
Profile Details
| NPI number | 1265820716 |
|---|---|
| LBN Legal business name | Ellis, Taryn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2015 |
| Last updated | Jan 7th, 2015 - about 11 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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