Linda Ellis, Ma, Lpc | |
48 Haralson Pl Suite 3 Blairsville GA 30512-3087 | |
(706) 781-2661 | |
(706) 781-2661 |
Full Name | Linda Ellis, Ma, Lpc |
---|---|
Speciality | Counselor - Professional |
Location | 48 Haralson Pl, Blairsville, Georgia |
Authorized Official Name and Position | Linda Ellis (LICENSED COUNSELOR) |
Authorized Official Contact | 7067812661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Linda Ellis, Ma, Lpc 255 Stable Gate Dr Blairsville GA 30512-8062 Ph: (706) 781-2661 | Linda Ellis, Ma, Lpc 48 Haralson Pl Suite 3 Blairsville GA 30512-3087 Ph: (706) 781-2661 |
NPI Number | 1124440367 |
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Provider Enumeration Date | 01/07/2014 |
Last Update Date | 01/07/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124440367 | NPI | - | NPPES |
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 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1578 (Georgia) | Primary |
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