Organization
ELISE PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA WARD EDD (OWNER)
(770) 434-4448
Entity
Organization
Contact information
Practice address
1330 CONCORD RD SE, SUITE 203, SMYRNA, GA 30080-4375
(770) 434-4448
(770) 434-4449
Mailing address
4222 CHESTNUT LAKE AVE, LITHONIA, GA 30038-4568
(770) 434-4448
(770) 424-4449
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009380
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861554776
—
GA
Enumeration date
08/12/2009
Last updated
08/12/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up