Organization
LISA B ELLIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA B ELLIS LCSW (OWNER)
(404) 401-7715
Entity
Organization
Contact information
Practice address
1400 BUFORD HWY, STE G7, SUGARHILL, GA 30518-8721
(404) 401-7715
(770) 995-1959
Mailing address
3635 THOMPSON MILL RD, BUFORD, GA 30519-5448
(404) 401-7715
(770) 995-1959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002706
GA
Other
Enumeration date
11/14/2013
Last updated
08/17/2022
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