Individual provider · Type 1 NPI

Ellyce Diana Payne, MS, NCC, LAPC

Mental Health Counselor · Kennesaw, GA

NPI number 1366970782 Active

Practice location

6095 Pine Mountain Rd NW Ste 105
Kennesaw, GA 30152-3332

Fax (770) 966-8228

Mailing address

2743 Fairfield Dr SW
Marietta, GA 30064-3721

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X005656 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1366970782

Ellyce Diana Payne, MS, NCC, LAPC's National Provider Identifier is 1366970782, issued on May 30, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kennesaw, GA. The record was last updated on May 30, 2017.