Organization · Type 2 NPI

Elise Psychological Services, LLC

Professional Counselor · Smyrna, GA

NPI number 1164654976 Active

Practice location

1330 Concord Rd SE, Suite 203
Smyrna, GA 30080-4375

Fax (770) 434-4449

Mailing address

4222 Chestnut Lake Ave
Lithonia, GA 30038-4568

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC009380 (GA)

Professional Counselor: Definition to come...

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About NPI 1164654976

Elise Psychological Services, LLC's National Provider Identifier is 1164654976, issued on Aug 12, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Smyrna, GA. The record was last updated on Aug 12, 2009.