NICOLE PETTIS ELLIS

WOODSTOCK, GA
NPI1336982255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-06-18
Last Update Date2024-06-18
Business Address
NICOLE PETTIS ELLIS
270 HERITAGE WALK
WOODSTOCK, GA 30188-3875
Phone number: 678-494-5700
Mailing Address
NICOLE PETTIS ELLIS
1407 SUMMIT SPRINGS DR
SANDY SPRINGS, GA 30350-2937
Phone number: 850-567-8964