| NPI | 1912039553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ELLIS Licensed Professional Counselor 706-781-2661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC 1578) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2013-12-17 |