Individual
DAVID ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
407 N THORNTON AVE STE 4, DALTON, GA 30720-3549
(762) 231-5806
Mailing address
407 N THORNTON AVE STE 4, DALTON, GA 30720-3549
(762) 231-5806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC015436
GA
101YP2500X
Professional Counselor
LPC015436
GA
Other
Enumeration date
01/13/2025
Last updated
10/20/2025
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