MS. ANGELA LESLIE ELLIS LPC NPI 1306070958

NPI Information

NPI: 1306070958
Provider Name: MS. ANGELA LESLIE ELLIS, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
100 CRESCENT CENTER PKWY
SUITE 1290
TUCKER, GA
ZIP 30084
Phone: (770) 621-0479
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MS. Angela Leslie Ellis, LPC is a professional counselor in Tucker, GA. MS. Angela Leslie Ellis, LPC NPI is 1306070958. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 CRESCENT CENTER PKWY
SUITE 1290
TUCKER, GA
ZIP 30084-060
Phone: (770) 621-0479
Fax: (770) 621-0466

The enumeration date for this NPI number is 5/12/2009 and was last updated on 5/12/2009.

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	LPC005488	GEORGIA	Yes

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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