NATHALIE ELLIS, LLC (NPI# 1700132099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700132099 |
| Entity Type | Organization |
| Organization Name | NATHALIE ELLIS, LLC |
| Practice Address |
2855 Candler Rd Suite 9 Decatur GA 30034-1415 |
| Mailing Address |
3153 Oxbridge Way Lithonia GA 30038-2228 |
| Practice Telephone | 6787327269 |
| Practice Fax Number | 6786012928 |
| Mailing Telephone | 6787327269 |
| Mailing Fax Number | 6786012928 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |
| Authorized Official Name | NATHALIE D ELLIS (OWNER) |
| Authorized Official Telephone | 6787327269 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC004352 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2855 CANDLER RD SUITE 9 |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427011253 | Wayne R Miller | Dentist | 2855 Candler Rd, Suite 10, Decatur, GA 30034-1415 | 2006-04-11 |
| 1518341445 | Compassion Fosters Change Counseling Services LLC | Social Worker | 2855 Candler Rd, Ste 9, Decatur, GA 30034-1415 | 2015-07-09 |
| 1619305661 | Edward C Mack M.d. | Internal Medicine | 2855 Candler Rd, Suite 06, Decatur, GA 30034-1415 | 2013-10-29 |
| 1235470451 | Family Medical Center Urgent Care | Family Medicine | 2855 Candler Rd, Suite 4, Decatur, GA 30034 | 2013-03-13 |
| 1639445414 | Candler Pediatrics LLC | Pediatrics | 2855 Candler Rd, Ste 4, Decatur, GA 30034-1415 | 2012-03-27 |
| 1790091437 | Speech Therepeze, Inc. | Speech-Language Pathologist | 2855 Candler Rd, Suite 14, Decatur, GA 30034-1415 | 2010-08-19 |
| 1487978763 | Flat Shoals Foot & Ankle Center, LLC | Podiatrist | 2855 Candler Rd, Ste 6, Decatur, GA 30034-1415 | 2010-03-16 |
| 1649401704 | Stuart Schlein | Chiropractor | 2855 Candler Rd, Suite 5, Decatur, GA 30034-1415 | 2009-08-06 |
| 1568627255 | Anderia Shirrell Rhodes-bigham | Nurse Practitioner | 2855 Candler Rd, Suite 9, Decatur, GA 30034-1415 | 2008-07-23 |
| 1154500320 | Flat Shoals Foot & Ankle Center, LLC | Podiatrist | 2855 Candler Rd, Suite 10, Decatur, GA 30034-1415 | 2007-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363392 | Kimberly Swanson | Counselor | 311 West Hill Street, Decatur, GA 30030-4319 | 2020-10-14 |
| 1083228050 | Lasonja D Carter | Counselor | 2920 Frost Dr Sw, Decatur, AL 35603-4531 | 2020-09-07 |
| 1154935468 | Nick Hersey | Counselor | 1924 Clairmont Rd Ste 50, Decatur, GA 30033-3450 | 2020-09-03 |
| 1760095814 | Potters Touch Counseling Inc. | Counselor | 4150 Snapfinger Woods Dr Ste 100, Decatur, GA 30035-3417 | 2020-08-28 |
| 1407464563 | Starre Cannon | Counselor | 3183 Tarian Way, Decatur, GA 30034-5539 | 2020-07-15 |
| 1164040713 | Bethany Cecelia Merrett | Counselor | 223 Kathryn Ave, Decatur, GA 30030-5017 | 2020-07-09 |
| 1053939090 | Virtue Speaks LLC | Counselor | 4150 Snapfinger Woods Dr Ste 104d, Decatur, GA 30035-3417 | 2020-07-07 |
| 1821619842 | Knitikia Gross | Counselor | 436 Eastwyck Cir, Decatur, GA 30032-6694 | 2020-04-30 |
| 1063033074 | Marcy Renee Jefferson-watkins | Counselor | 2126 6th Ave Se Ste 208, Decatur, AL 35601-6547 | 2020-04-30 |
| 1790304004 | Tonia D Morris | Counselor | 3006 Western Sunset Ct, Decatur, GA 30034-1692 | 2020-04-16 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.