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Individual

ELISSA LYNN SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1200 ALTMORE AVE STE 200, ATLANTA, GA 30342-2495
(678) 426-2930
(404) 256-2795
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004797
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11878515
CAQH PROVIDER ID
05
170428375B
GA
01
424748
MHN PROVIDER ID
Enumeration date
10/21/2008
Last updated
04/27/2026
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