institution
Elise Psychological Services, Llc
Professional Counselor in Lithonia, Georgia
NPI 1669898987

Elise Psychological Services, Llc is a Professional Counselor based in Smyrna, GA and is specialized in Professional. Elise Psychological Services, Llc practices in Lithonia, GA. The NPI Number for Elise Psychological Services, Llc is 1669898987 and holds a License No. LPC009380 (Georgia).

The current practice location address for Elise Psychological Services, Llc is 4222 Chestnut Lake Ave, Lithonia, GA and can be reached out via phone at 770-434-4448 and via fax at 770-434-4449.

Location: 4222 Chestnut Lake Ave, Lithonia, GA, 30080-4373
institution
Provider Profile Details
NPI Number
1669898987
Provider Name
Elise Psychological Services, Llc
Credential
Provider Entity Type
Organization
Address
4222 Chestnut Lake Ave, Lithonia, GA, 30080-4373
Phone Number
770-434-4448
Fax Number
770-434-4449
Provider Enumeration Date
03/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
834417254A/B 05 GA
institution
Provider Business Practice Location Address Details
Address
4222 Chestnut Lake Ave
City
State
Zip
30038-4568
Phone Number
770-434-4448
Fax Number
770-434-4449
person
Provider Business Mailing Address Details
Address
4222 Chestnut Lake Ave
City
State
Zip
30038-4568
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
License No.
LPC009380 (Georgia)
Definition
Definition to come...
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