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Elise Psychological Services, Llc
Professional Counselor in Smyrna, Georgia
NPI 1164654976

Elise Psychological Services, Llc is a Professional Counselor based in Lithonia, GA and is specialized in Professional. Elise Psychological Services, Llc practices in Smyrna, GA. The NPI Number for Elise Psychological Services, Llc is 1164654976 and holds a License No. LPC009380 (Georgia).

The current practice location address for Elise Psychological Services, Llc is 1330 Concord Rd Se, Smyrna, GA and can be reached out via phone at 770-434-4448 and via fax at 770-434-4449.

Location: 1330 Concord Rd Se, Smyrna, GA, 30038-4568
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164654976
Provider Name
Elise Psychological Services, Llc
Credential
Provider Entity Type
Organization
Address
1330 Concord Rd Se, Smyrna, GA, 30038-4568
Phone Number
770-434-4448
Fax Number
770-434-4449
Provider Enumeration Date
08/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861554776 05 GA
institution
Provider Business Practice Location Address Details
Address
1330 Concord Rd Se
City
Smyrna
State
Georgia
Zip
30080-4375
Phone Number
770-434-4448
Fax Number
770-434-4449
person
Provider Business Mailing Address Details
Address
1330 Concord Rd Se
City
Smyrna
State
Georgia
Zip
30080-4375
Phone Number
770-434-4448
Fax Number
770-434-4449
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC009380 (Georgia)
Definition
Definition to come...
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