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Individual

ELENA M GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1325 SATELLITE BLVD NW STE 400500, SUWANEE, GA 30024-4651
(470) 713-0411
Mailing address
4370 SATELLITE BLVD APT 1202, DULUTH, GA 30096-4072
(630) 296-5420

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC016140
GA
101YP2500X
Professional Counselor
Primary
LPC016140
GA

Other

Enumeration date
01/15/2026
Last updated
02/10/2026
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