Individual provider · Type 1 NPI
Carl Edward Ellis Jr.
Mental Health Clinic/Center (Including Community Mental Health Center) · Fort Oglethorpe, GA
NPI number
1376667105
Active
Practice location
700 City Hall Dr
Fort Oglethorpe, GA 30742-7802
Fax (706) 861-3332
Mailing address
31 S Glade Rd
Fort Oglethorpe, GA 30742-3909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | RPH009402 (GA) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
9 other providers at this address
- Lookout Mountain Community ServicesCommunity/Behavioral Health Agency Fort Oglethorpe, GA NPI 1568599090
- Angelia Dawson McBee, LPNLicensed Practical Nurse Fort Oglethorpe, GA NPI 1346364643
- Annette Stacy Smith, LPNLicensed Practical Nurse Fort Oglethorpe, GA NPI 1942495114
- Esteban Lim Lim Jr., MDPsychiatry Physician Fort Oglethorpe, GA NPI 1235238775
- Hannah Rachel Hutton Hutton Cobb, LAPCProfessional Counselor Fort Oglethorpe, GA NPI 1053646059
- Josh HendersonProfessional Counselor Fort Oglethorpe, GA NPI 1043458979
- Richard Lee Taylor, M.EDCounselor Fort Oglethorpe, GA NPI 1841327574
- Terry Knighton, CACAddiction (Substance Use Disorder) Counselor Fort Oglethorpe, GA NPI 1013117555
- Wanda Marie Peterson, RNPsychiatric/Mental Health Registered Nurse Fort Oglethorpe, GA NPI 1518084060
About NPI 1376667105
Carl Edward Ellis Jr.'s National Provider Identifier is 1376667105, issued on Mar 19, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Fort Oglethorpe, GA. The record was last updated on Jul 8, 2007.