Ellen Paige Montgomery, Llc

LBN: Ellen Paige Montgomery, Llc
Ellen Paige Montgomery, Llc is an health care organization with primary practice located at 1807 Over Lake Dr Se Suite C, Conyers GA 30013-1777. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Ellen Paige Montgomery, Llc can be contacted via phone (678) 413-3833, or through Montgomery, Ellen Paige via phone (678) 413-3833.

Contact Information

Primary practice address
1807 Over Lake Dr Se Suite C Conyers GA 30013-1777
Phone: (678) 413-3833
Fax: (770) 385-1832
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, Ellen Paige Licensed Professional Counselor (LPC)
Phone: (678) 413-3833

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4154 Georgia

Profile Details

NPI number 1871828509
LBN Legal business name Ellen Paige Montgomery, Llc
DBA Doing business as
Authorized official Montgomery, Ellen Paige Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2009
Last updated Oct 14th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871828509 NPPES
Georgia MEDICAID 200566262A

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