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Latisha Ellis, LPC
NPI 1487060604 · on the registry since 2014 · sole proprietor
Practice
- Address
- 106 Colony Park Drive
Suite 500
Lawrenceville, GA 30043 - Phone
- (770) 294-4006
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Also registered as
- Mental Health Counselor
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia