Ellen Paige Montgomery, LLC

NPI #1871828509 in Conyers, Georgia

Provider Information

NPI Number: 1871828509
Entity Type: Organization
Organization Name: Ellen Paige Montgomery, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Oct 14, 2009
Last Updated: Oct 14, 2009

Practice Location

Address: 1807 OVER LAKE DR SE
Address 2: SUITE C
City: Conyers
State: Georgia
ZIP Code: 30013-1777
Phone: (678) 413-3833

Authorized Official

Name: MRS. ELLEN PAIGE MONTGOMERY, LPC
Title: OWNER
Phone: (678) 413-3833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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