Ellen Farrell, LPC | |
415 Bonaventure Rd, Thunderbolt, GA 31404-3299 | |
(912) 247-4263 | |
Not Available |
Full Name | Ellen Farrell |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 415 Bonaventure Rd, Thunderbolt, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144557570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC004218 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ellen Farrell, LPC 105 Willow Point Cir, Pooler, GA 31322-3925 Ph: (912) 247-4263 | Ellen Farrell, LPC 415 Bonaventure Rd, Thunderbolt, GA 31404-3299 Ph: (912) 247-4263 |
Irene Wood, LPC Counselor Medicare: Medicare Enrolled Practice Location: 415 Bonaventure Rd, Thunderbolt, GA 31404 Phone: 912-790-6526 | |
Robert James Egan, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Bonaventure Rd, Thunderbolt, GA 31404 Phone: 912-790-6527 Fax: 912-644-7729 |