Linda Ellis, Ma, LPC
Organization Active NPI Professional Counselor · Blairsville, GA
NPI 1124440367 · NPPES record last updated Jan 7, 2014
Key facts
- NPI
- 1124440367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1578 (GA)
- Legal business name
- LINDA ELLIS, MA, LPC
- Practice address
- 48 Haralson PL
Suite 3
Blairsville, GA 30512-3087 - Phone
- (706) 781-2661
- Fax
- (706) 781-2661
- NPI assigned
- Jan 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Ms. Linda Ellis, LPC
- Title
- Licensed Counselor
- Phone
- (706) 781-2661
Practitioners 1
-
Linda Ellis, LPC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 1578 | GA | Yes |
Addresses
Primary practice location
48 Haralson PL
Suite 3
Blairsville, GA 30512-3087
Mailing address
255 Stable Gate Dr
Blairsville, GA 30512-8062
Phone (706) 781-2661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731631000 | Other | MAGELLAN | |
| 033901 | Other | VALUE OPTIONS | |
| 084833 | Other | MHN | |
| 1151965 | Other | CAQH | |
| 694416721-A | Medicaid | GA | |
| 033901 | Other | TRICARE | |
| 52492483-001 | Other | GA | BCBSGA |
| 289514654 | Other | UNITED BEHAVIORAL HEALTH | |
| 6838713 | Other | CIGNA |
Other names
- Linda Ellis, MA, LPC, INC
Other providers in Blairsville, GA
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- Kassidy Lewis
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- Linda Ellis, Ma, LPC, Inc
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- Joe Henry Livingston IV
- Breanna A Locke
- Thomas Charles Lovelace
All providers in Blairsville, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.