| Doctor Name: | MS. LINDA ELLIS |
| NPI Number: | 1326002379 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC1578 |
| Business Practice Address: | 48 Haralson Pl Suite 3 Blairsville, GA - 305123087 |
| Business Phone Number: | 7067812661 |
| Business Fax Number: | 7067812661 |
| Mailing Address: | 255 Stable Gate Dr, BLAIRSVILLE |
| State: | GA |
| Postal Code: | 305128062 |
| Phone Number: | 7067812661 |
| Fax Number: | 7067812661 |
| NPI Enumeration Date: | 04/14/2006 |
| NPI Last Update Date: | 01/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC1578 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |