Organization
NATIONAL EDUCATIONAL TRAINING SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE ELAINE ELLLIS PH.D. (PRESIDENT)
(727) 365-8522
Entity
Organization
Contact information
Practice address
376 AUTUMN TRL, RINGGOLD, GA 30736-4191
(727) 365-8522
(866) 799-3496
Mailing address
376 AUTUMN TRL, RINGGOLD, GA 30736-4191
(727) 365-8522
(866) 799-3496
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY3273
GA
251K00000X
Public Health or Welfare Agency
PSY3273
GA
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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