Individual
NELLISHA AYENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4343 SHALLOWFORD RD STE 510, MARIETTA, GA 30062-5070
(770) 913-6557
Mailing address
4070 THORNDALE LN SE, SMYRNA, GA 30080-1204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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