Ellijay Center for Change, PC

NPI #1669700837 in Ellijay, Georgia

Provider Information

NPI Number: 1669700837
Entity Type: Organization
Organization Name: Ellijay Center for Change, PC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 30, 2009
Last Updated: Nov 30, 2009

Practice Location

Address: 89 HOSPITAL CIR
Address 2: SUITE 8
City: Ellijay
State: Georgia
ZIP Code: 30540-9669
Phone: (706) 698-2400

Authorized Official

Name: MS. CHERYL KEATS, LCSW
Title: OWNER
Phone: (706) 698-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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