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H. Ellis Carpenter, LMFT
Mental Health Counselor in Lagrange, Georgia
NPI 1831155829

H. Ellis Carpenter is a Mental Health Counselor based in Lagrange, GA and is specialized in Mental Health. H. Ellis Carpenter practices in Lagrange, GA and has the professional credentials of LMFT. The NPI Number for H. Ellis Carpenter is 1831155829 and holds a License No. 710 (Georgia).

The current practice location address for H. Ellis Carpenter is 300 Medical Dr, Lagrange, GA and can be reached out via phone at 706-885-0111 and via fax at 706-885-0607.

Location: 300 Medical Dr, Lagrange, GA, 30240-4130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831155829
Provider Name
H. Ellis Carpenter
Credential
LMFT
Provider Entity Type
Individual
Gender
Male
Address
300 Medical Dr, Lagrange, GA, 30240-4130
Phone Number
706-885-0111
Fax Number
706-885-0607
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
793918807A 05 GA
institution
Provider Business Practice Location Address Details
Address
300 Medical Dr
City
Lagrange
State
Georgia
Zip
30240-4155
Phone Number
706-885-0111
Fax Number
706-885-0607
person
Provider Business Mailing Address Details
Address
300 Medical Dr
City
Lagrange
State
Georgia
Zip
30240-4155
Phone Number
706-885-0111
Fax Number
706-885-0607
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
710 (Georgia)
Definition
Definition to come...
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