Emilie Ellis

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001793 Issued in GA

Practice address

2195 Desmond Dr
Decatur, GA 30033-4142

Phone

(404) 480-3195

NPI assigned

Jun 23, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1871944645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 DESMOND DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 DESMOND DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334142",
            "telephone_number": "404-480-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "EMILIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "AMFT000428",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elliot, NP-C
• Erin Christine Elliott, PH.D.
• Herbert M Elliott
• Omari Elliott
• Ellis School of Atlanta, Inc.
• Tosha Lashon Ellis, PHD, LCSW
• Brittany Ellison
• Ellsworth Healthcare Staffing LLC
• Daniel Emah, RN
• Emb3 Behavioral Health Group

• Marriage & Family Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.