NICOLE PETTIS ELLIS
NPI 1336982255
Counselor - Mental Health in Woodstock, GA

Active since June 18, 2024
270 HERITAGE WALK, WOODSTOCK, GA 30188(678) 494-5700 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Pettis Ellis NPPES

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

NICOLE PETTIS ELLIS (NPI 1336982255) is an individual mental health provider in Woodstock, Georgia and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1336982255
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE PETTIS ELLIS
Location Address270 HERITAGE WALKWoodstock, GA 30188-3875
Mailing Address1407 Summit Springs DrSandy Springs, GA 30350-2937 · (850) 567-8964
Sole ProprietorNo
Enumeration DateJune 18, 2024
NPPES CertifiedJune 18, 2024
NPI 1336982255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
270 HERITAGE WALK, Woodstock, GA 30188

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
270 HERITAGE WALK
WOODSTOCK, GA 30188
Licensed Practical Nurse
270 HERITAGE WALK
WOODSTOCK, GA 30188
Pharmacist
270 HERITAGE WALK
WOODSTOCK, GA 30188
Licensed Practical Nurse
270 HERITAGE WALK
WOODSTOCK, GA 30188
Licensed Practical Nurse
270 HERITAGE WALK
WOODSTOCK, GA 30188
Counselor (Addiction (Substance Use Disorder))
270 HERITAGE WALK
WOODSTOCK, GA 30188
Counselor (Addiction (Substance Use Disorder))
270 HERITAGE WALK
WOODSTOCK, GA 30188
Counselor (Addiction (Substance Use Disorder))
270 HERITAGE WALK
WOODSTOCK, GA 30188

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 Nicole Ellis's NPI number?

The NPI number for Nicole Ellis is 1336982255. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Nicole Ellis located?

Nicole Ellis practices at 270 Heritage Walk, Woodstock, GA 30188. The listed phone number is (678) 494-5700.

What is Nicole Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nicole Ellis was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.