Individual
OLIVIA FAITH ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2789 SATELLITE BLVD UNIT 1101, DULUTH, GA 30096-5903
(770) 366-1907
Mailing address
2789 SATELLITE BLVD UNIT 1101, DULUTH, GA 30096-5903
(770) 366-1907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
016287
GA
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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