Individual provider · Type 1 NPI

Ella Juanita Harley

Mental Health Counselor · Decatur, GA

NPI number 1336606441 Active

Practice location

120 E Trinity Pl
Decatur, GA 30030-3302

Mailing address

120 East Trinity Place
Decatur, GA 30030

Other practice locations

  • 120 E Trinity Pl, Decatur, GA 30030-3302 · (404) 328-3200

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336606441

Ella Juanita Harley's National Provider Identifier is 1336606441, issued on Feb 25, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, GA. The record was last updated on Feb 25, 2019.