| Linda Ellis, Ma, Lpc, Inc | |
|
48 Haralson Pl # 3 Blairsville GA 30512-3087 | |
| (706) 781-2661 | |
| (706) 781-2661 |
| Full Name | Linda Ellis, Ma, Lpc, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 48 Haralson Pl, Blairsville, Georgia |
| Authorized Official Name and Position | Linda Ellis (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7067812661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Ellis, Ma, Lpc, Inc 255 Stable Gate Dr Blairsville GA 30512-8062 Ph: (706) 781-2661 | Linda Ellis, Ma, Lpc, Inc 48 Haralson Pl # 3 Blairsville GA 30512-3087 Ph: (706) 781-2661 |
| NPI Number | 1912039553 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 12/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912039553 | NPI | - | NPPES |
| 694416721A | Medicaid | GA | |
| 1326002379 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC 1578 (Georgia) | Primary |
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