person
Latisha Taylor Ellis, LPC
Professional Counselor in Lawrenceville, Georgia
NPI 1487060604

Latisha Taylor Ellis is a Professional Counselor based in Lawrenceville, GA and is specialized in Professional. Latisha Taylor Ellis practices in Lawrenceville, GA and has the professional credentials of LPC. The NPI Number for Latisha Taylor Ellis is 1487060604 and holds a License No. LPC010353 (Georgia).

The current practice location address for Latisha Taylor Ellis is 106 Colony Park Drive, Lawrenceville, GA and can be reached out via phone at 770-294-4006.

Location: 106 Colony Park Drive, Lawrenceville, GA, 30043-3036
person
Provider Profile Details
NPI Number
1487060604
Provider Name
Latisha Taylor Ellis
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
106 Colony Park Drive, Lawrenceville, GA, 30043-3036
Phone Number
770-294-4006
Fax Number
Provider Enumeration Date
07/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
106 Colony Park Drive
City
State
Zip
30043
Phone Number
770-294-4006
Fax Number
person
Provider Business Mailing Address Details
Address
106 Colony Park Drive
City
State
Zip
30043
Phone Number
770-294-4006
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC010353 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC010353 (Georgia)
Definition
Definition to come...
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