Organization
LINDA ELLIS, MA, LPC
Active
Other names
Linda Ellis, MA, LPC, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA ELLIS LPC (LICENSED COUNSELOR)
(706) 781-2661
Entity
Organization
Contact information
Practice address
48 HARALSON PL, SUITE 3, BLAIRSVILLE, GA 30512-3087
(706) 781-2661
(706) 781-2661
Mailing address
255 STABLE GATE DR, BLAIRSVILLE, GA 30512-8062
(706) 781-2661
(706) 781-2661
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1578
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033901
VALUE OPTIONS
—
01
—
084833
MHN
—
01
—
1151965
CAQH
—
01
—
289514654
UNITED BEHAVIORAL HEALTH
—
01
—
52492483-001
BCBSGA
GA
01
—
6838713
CIGNA
—
05
—
694416721-A
—
GA
01
—
731631000
MAGELLAN
—
Enumeration date
01/07/2014
Last updated
01/07/2014
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