Organization
ELLE COUNSELING, LLC
Active
Other names
Elle Counseling, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE K LYN PHD (FOUNDER)
(678) 200-7652
Entity
Organization
Contact information
Practice address
315 W PONCE DE LEON AVE STE 980, DECATUR, GA 30030-2478
(678) 643-1786
Mailing address
315 W PONCE DE LEON AVE STE 980, DECATUR, GA 30030-2478
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133946B
—
GA
Enumeration date
01/17/2018
Last updated
06/16/2018
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