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Genevieve Brienne Ellis, LPC
Professional Counselor in Woodstock, Georgia
NPI 1104537380

Genevieve Brienne Ellis is a Professional Counselor based in Canton, GA and is specialized in Professional. Genevieve Brienne Ellis practices in Woodstock, GA and has the professional credentials of LPC. The NPI Number for Genevieve Brienne Ellis is 1104537380 and holds a License No. APC007904 (Georgia).

The current practice location address for Genevieve Brienne Ellis is 100 Stoneforest Dr Ste 230, Woodstock, GA and can be reached out via phone at 770-389-8100.

Location: 100 Stoneforest Dr Ste 230, Woodstock, GA, 30114-1815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104537380
Provider Name
Genevieve Brienne Ellis
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
100 Stoneforest Dr Ste 230, Woodstock, GA, 30114-1815
Phone Number
770-389-8100
Fax Number
Provider Enumeration Date
12/08/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
100 Stoneforest Dr Ste 230
City
Woodstock
State
Georgia
Zip
30189-4903
Phone Number
770-389-8100
Fax Number
person
Provider Business Mailing Address Details
Address
100 Stoneforest Dr Ste 230
City
Woodstock
State
Georgia
Zip
30189-4903
Phone Number
770-389-8100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
014369 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
APC007904 (Georgia)
Definition
Definition to come...
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