Individual provider · Type 1 NPI

Nicole Pettis Ellis

Mental Health Counselor · Woodstock, GA

NPI number 1336982255 Active

Practice location

270 Heritage Walk
Woodstock, GA 30188-3875

Call (678) 494-5700 Map

Mailing address

1407 Summit Springs Dr
Sandy Springs, GA 30350-2937

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336982255

Nicole Pettis Ellis's National Provider Identifier is 1336982255, issued on Jun 18, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woodstock, GA. The record was last updated on Jun 18, 2024.