Organization
MARGARET GIBSON ELLISON, LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET GIBSON ELLISON EDS LPC MAC CSAT (OWNER CLINICAL DIRECTOR)
(404) 419-6546
Entity
Organization
Contact information
Practice address
1775 PARKER RD, BLDG C STE 210, CONYERS, GA 30094-6654
(404) 419-6546
(404) 419-6546
Mailing address
1775 PARKER RD, BLDG C STE 210, CONYERS, GA 30094-6654
(404) 419-6546
(404) 419-6546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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