ELISE PSYCHOLOGICAL SERVICES, LLC
NPI 1164654976
Counselor - Professional in Smyrna, GA

Active since August 12, 2009
1330 CONCORD RD SE, SUITE 203, SMYRNA, GA 30080(770) 434-4448(770) 434-4449 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elise Psychological Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISE PSYCHOLOGICAL SERVICES, LLC (NPI 1164654976) is a healthcare organization registered as a professional in Smyrna, Georgia and active in the NPI registry since August 2009. The organization lists Regina Ward, Owner, as its authorized official.

NPPES Registry Identity

NPI1164654976
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameELISE PSYCHOLOGICAL SERVICES, LLC
Location Address1330 CONCORD RD SE, SUITE 203Smyrna, GA 30080-4375
Mailing Address4222 Chestnut Lake AveLithonia, GA 30038-4568 · (770) 434-4448 · Fax (770) 424-4449
Fax(770) 434-4449
Organization SubpartNo
Authorized OfficialRegina WardOwner · (770) 434-4448
Enumeration DateAugust 12, 2009
NPI 1164654976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC009380
1330 CONCORD RD SE, Smyrna, GA 30080

Other Identifiers 1

Medicaid1861554776GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
1330 CONCORD RD SE
SMYRNA, GA 30080
Social Worker (Clinical)
1330 CONCORD RD SE
SMYRNA, GA 30080
Psychologist
1330 CONCORD RD SE, SUITE 205
SMYRNA, GA 30080
Social Worker (Clinical)
1330 CONCORD RD SE
SMYRNA, GA 30080
Psychiatry & Neurology (Psychiatry)
1330 CONCORD RD SE
SMYRNA, GA 30080
Counselor (Mental Health)
1330 CONCORD RD SE
SMYRNA, GA 30080
Counselor (Mental Health)
1330 CONCORD RD SE
SMYRNA, GA 30080
Counselor (Professional)
1330 CONCORD RD SE, STE 201
SMYRNA, GA 30080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Psychological Services, LLC's NPI number?

The NPI number for Elise Psychological Services, LLC is 1164654976. It was assigned to this organization in the NPPES registry on August 12, 2009.

Where is Elise Psychological Services, LLC located?

Elise Psychological Services, LLC is located at 1330 Concord Rd SE Suite 203, Smyrna, GA 30080. The listed phone number is (770) 434-4448.

What is Elise Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Elise Psychological Services, LLC was last updated on August 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.