Anika Ellington
Individual provider Active NPI Mental Health Counselor · Clarkston, GA
NPI 1144658907 · NPPES record last updated Oct 14, 2013
Key facts
- NPI
- 1144658907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC007066 (GA)
- Practice address
- 945 N Indian Creek Dr
Clarkston, GA 30021-2221 - Phone
- (404) 468-6603
- NPI assigned
- Oct 14, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC007066 | GA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC007066 | GA | Yes |
Addresses
Primary practice location
945 N Indian Creek Dr
Clarkston, GA 30021-2221
Mailing address
3500 Kilpatrick LN
Snellville, GA 30039-8642
Phone (404) 468-6603
Other providers in Clarkston, GA
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- Faraiba Faqeerzada
- Jeffrey Fargason
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All providers in Clarkston, GA · Mental Health 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 Oct 14, 2013. 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.