institution
Ellen Paige Montgomery, Llc
Professional Counselor in Conyers, Georgia
NPI 1871828509

Ellen Paige Montgomery, Llc is a Professional Counselor based in Conyers, GA and is specialized in Professional. Ellen Paige Montgomery, Llc practices in Conyers, GA. The NPI Number for Ellen Paige Montgomery, Llc is 1871828509 and holds a License No. 4154 (Georgia).

The current practice location address for Ellen Paige Montgomery, Llc is 1807 Over Lake Dr Se, Conyers, GA and can be reached out via phone at 678-413-3833 and via fax at 770-385-1832.

Location: 1807 Over Lake Dr Se, Conyers, GA, 30013-1777
institution
Provider Profile Details
NPI Number
1871828509
Provider Name
Ellen Paige Montgomery, Llc
Credential
Provider Entity Type
Organization
Address
1807 Over Lake Dr Se, Conyers, GA, 30013-1777
Phone Number
678-413-3833
Fax Number
770-385-1832
Provider Enumeration Date
10/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200566262A 05 GA
institution
Provider Business Practice Location Address Details
Address
1807 Over Lake Dr Se
City
State
Zip
30013-1777
Phone Number
678-413-3833
Fax Number
770-385-1832
person
Provider Business Mailing Address Details
Address
1807 Over Lake Dr Se
City
State
Zip
30013-1777
Phone Number
678-413-3833
Fax Number
770-385-1832
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4154 (Georgia)
Definition
Definition to come...
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