H. ELLIS CARPENTER

LAGRANGE, GA
NPI1831155829
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  710)
Enumeration Date2006-04-26
Last Update Date2008-05-16
Business Address
-- H. ELLIS CARPENTER LMFT
300 MEDICAL DR SUITE 705 ELLIS CARPENTER, LMFT
LAGRANGE, GA 30240-4155
Phone number: 706-885-0111
Mailing Address
-- H. ELLIS CARPENTER LMFT
300 MEDICAL DR SUITE 705
LAGRANGE, GA 30240-4130
Phone number: 706-885-0111