Individual provider · Type 1 NPI

Genevieve Brienne Ellis, LPC

Professional Counselor · Woodstock, GA

NPI number 1104537380 Active

Practice location

100 Stoneforest Dr Ste 230
Woodstock, GA 30189-4903

Call (470) 552-8470 Map

Fax (470) 437-3924

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC014369 (GA)

Professional Counselor: Definition to come...

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About NPI 1104537380

Genevieve Brienne Ellis, LPC's National Provider Identifier is 1104537380, issued on Dec 8, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Woodstock, GA. The record was last updated on Jan 8, 2026.