Individual provider · Type 1 NPI

Latisha Taylor Ellis, LPC

Professional Counselor · Lawrenceville, GA

NPI number 1487060604 Active

Practice location

106 Colony Park Drive, Suite 500
Lawrenceville, GA 30043

Call (770) 294-4006 Map

Mailing address

1785 Abinger Ln
Lawrenceville, GA 30043-3036

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC010353 (GA)
Professional Counselor Primary 101YP2500XLPC010353 (GA)

Professional Counselor: Definition to come...

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About NPI 1487060604

Latisha Taylor Ellis, LPC's National Provider Identifier is 1487060604, issued on Jul 8, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 31, 2018.