Individual provider · Type 1 NPI

Olivia Faith Ellis

Mental Health Counselor · Duluth, GA

NPI number 1396695409 Active

Practice location

2789 Satellite Blvd Unit 1101
Duluth, GA 30096-5903

Call (770) 366-1907 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X016287 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1396695409

Olivia Faith Ellis's National Provider Identifier is 1396695409, issued on Jan 29, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Duluth, GA. The record was last updated on Jan 29, 2026.