LINDA ELLIS MA LPC INC NPI 1912039553

NPI Information

LINDA ELLIS, MA, LPC, INC is a professional counselor in Blairsville, GA. LINDA ELLIS, MA, LPC, INC NPI is 1912039553. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

48 HARALSON PL
# 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 Professional Counselor and has the following contact phone number (706) 781-2661.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 12/17/2013.

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:

Other Identifiers

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

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