Nicole Pettis Ellis

NPI #1336982255 in Woodstock, Georgia

Provider Information

NPI Number: 1336982255
Entity Type: Individual
Name: Nicole Pettis Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 18, 2024
Last Updated: Jun 18, 2024

Practice Location

Address: 270 HERITAGE WALK
City: Woodstock
State: Georgia
ZIP Code: 30188-3875
Phone: (678) 494-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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