Individual
GENEVIEVE BRIENNE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 STONEFOREST DR STE 230, WOODSTOCK, GA 30189-4903
(470) 552-8470
(470) 437-3924
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014369
GA
Other
Enumeration date
12/08/2022
Last updated
01/08/2026
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