| Doctor Name: | DENISE JOY CUNNINGHAM-ELIOUS |
| NPI Number: | 1093106114 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC, CAADC |
| License Number: | LPC007919 |
| Business Practice Address: | 2795 Main St W Suite 20 B Snellville, GA - 300783164 |
| Business Phone Number: | 6783447836 |
| Business Fax Number: | 6788928575 |
| Mailing Address: | 2795 Main St W, Suite 20 B SNELLVILLE |
| State: | GA |
| Postal Code: | 300783164 |
| Phone Number: | 6783447836 |
| Fax Number: | 6788928575 |
| NPI Enumeration Date: | 02/11/2015 |
| NPI Last Update Date: | 02/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC007919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |