IndividualActive
Angela Ellis, LPC
NPI 1306070958 · Professional Counselor · Tucker, GA
Provider details
- NPI number
- 1306070958
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- License
- LPC005488 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
100 Crescent Center Pkwy
Suite 1290
Tucker, GA 30084-7060
Phone: (770) 621-0479
Fax: (770) 621-0466
Approximate (ZIP-level) locationGet directions
Mailing address
2561 Rainover Ct
Decatur, GA 30034-2264
Registry dates
- Enumerated
- 2009-05-12
- Last updated
- 2009-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.