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Organization
NATHALIE ELLIS, LLC
Active
Organization
NATHALIE ELLIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHALIE D ELLIS LPC (OWNER)
(678) 732-7269
Entity
Organization
Contact information
Practice address
2855 CANDLER RD, SUITE 9, DECATUR, GA 30034-1415
(678) 732-7269
(678) 601-2928
Mailing address
3153 OXBRIDGE WAY, LITHONIA, GA 30038-2228
(678) 732-7269
(678) 601-2928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004352
GA
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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