Individual provider · Type 1 NPI

Angela Leslie Ellis, LPC

Professional Counselor · Tucker, GA

NPI number 1306070958 Active

Practice location

100 Crescent Center Pkwy, Suite 1290
Tucker, GA 30084-7060

Call (770) 621-0479 Map

Fax (770) 621-0466

Mailing address

2561 Rainover Ct
Decatur, GA 30034-2264

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC005488 (GA)

Professional Counselor: Definition to come...

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About NPI 1306070958

Angela Leslie Ellis, LPC's National Provider Identifier is 1306070958, issued on May 12, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tucker, GA. The record was last updated on May 12, 2009.