LINDA ELLIS MA LPC NPI 1124440367

NPI Information

NPI: 1124440367
Provider Name: LINDA ELLIS, MA, LPC

Former Legal Business Name: LINDA ELLIS, MA, LPC, INC

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
48 HARALSON PL
SUITE 3
BLAIRSVILLE, GA
ZIP 30512
Phone: (706) 781-2661
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LINDA ELLIS, MA, LPC is a professional counselor in Blairsville, GA. LINDA ELLIS, MA, LPC NPI is 1124440367. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Linda Ellis, Ma, Lpc, Inc.

The provider's business location address is:

48 HARALSON PL
SUITE 3
BLAIRSVILLE, GA
ZIP 30512-087
Phone: (706) 781-2661
Fax: (706) 781-2661

The provider's authorized official is Linda Ellis .
The authorized official title is Licensed Counselor and has the following contact phone number (706) 781-2661.

The enumeration date for this NPI number is 1/7/2014 and was last updated on 1/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	1578	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	033901	OTHER		VALUE OPTIONS
2	1151965	OTHER		CAQH
3	52492483-001	OTHER	GEORGIA	BCBSGA
4	694416721-A	MEDICAID	GEORGIA
5	033901	OTHER		TRICARE
6	6838713	OTHER		CIGNA
7	084833	OTHER		MHN
8	289514654	OTHER		UNITED BEHAVIORAL HEALTH
9	731631000	OTHER		MAGELLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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