person
Ellyce Diana Payne, MS,NCC,LAPC
Mental Health Counselor in Kennesaw, Georgia
NPI 1366970782

Ellyce Diana Payne is a Mental Health Counselor based in Marietta, GA and is specialized in Mental Health. Ellyce Diana Payne practices in Kennesaw, GA and has the professional credentials of MS,NCC,LAPC. The NPI Number for Ellyce Diana Payne is 1366970782 and holds a License No. 005656 (Georgia).

The current practice location address for Ellyce Diana Payne is 6095 Pine Mountain Rd Nw Ste 105, Kennesaw, GA and can be reached out via phone at 678-217-7529 and via fax at 770-966-8228.

Location: 6095 Pine Mountain Rd Nw Ste 105, Kennesaw, GA, 30064-3721
person
Provider Profile Details
NPI Number
1366970782
Provider Name
Ellyce Diana Payne
Credential
MS,NCC,LAPC
Provider Entity Type
Individual
Gender
Female
Address
6095 Pine Mountain Rd Nw Ste 105, Kennesaw, GA, 30064-3721
Phone Number
678-217-7529
Fax Number
770-966-8228
Provider Enumeration Date
05/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6095 Pine Mountain Rd Nw Ste 105
City
State
Zip
30152-3332
Phone Number
678-217-7529
Fax Number
770-966-8228
person
Provider Business Mailing Address Details
Address
6095 Pine Mountain Rd Nw Ste 105
City
State
Zip
30152-3332
Phone Number
678-217-7529
Fax Number
770-966-8228
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
005656 (Georgia)
Definition
Definition to come...
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