Individual provider · Type 1 NPI

Amberly Ellis, LPC

Mental Health Counselor · Braselton, GA

NPI number 1639666704 Active

Practice location

1247 Tuscany Dr., Suite B-1
Braselton, GA 30517

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XAPC009083 (GA)
Mental Health Counselor Primary 101YM0800XLPC011633 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1639666704

Amberly Ellis, LPC's National Provider Identifier is 1639666704, issued on Apr 15, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Braselton, GA. The record was last updated on Apr 4, 2022.