| NPI | 1124440367 |
|---|---|
| Former Legal Business Name | LINDA ELLIS, MA, LPC, INC |
| Entity Type | Organization |
| Authorized Contact | LINDA ELLIS Licensed Counselor 706-781-2661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 1578) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |