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ELISE PSYCHOLOGICAL SERVICES, LLC
NPI 1669898987
Counselor - Professional in Lithonia, GA

Active since March 11, 2014
4222 CHESTNUT LAKE AVE, LITHONIA, GA 30038(770) 434-4448(770) 434-4449 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 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 1669898987) is a healthcare organization registered as a professional in Lithonia, Georgia and active in the NPI registry since March 2014. The organization lists Regina Ward, Owner, as its authorized official.

NPPES Registry Identity

NPI1669898987
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameELISE PSYCHOLOGICAL SERVICES, LLC
Location Address4222 CHESTNUT LAKE AVELithonia, GA 30038-4568
Mailing Address1330 Concord Rd Se, SuiteSmyrna, GA 30080-4373 · (770) 434-4448 · Fax (770) 434-4449
Phone(770) 434-4448
Fax(770) 434-4449
Organization SubpartNo
Authorized OfficialRegina WardOwner · (770) 434-4448
Enumeration DateMarch 11, 2014
✔ NPI 1669898987 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
4222 CHESTNUT LAKE AVE, Lithonia, GA 30038
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Other Identifiers 1

Medicaid834417254A/BGA

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

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 1669898987. It was assigned to this organization in the NPPES registry on March 11, 2014.

Where is Elise Psychological Services, LLC located?

Elise Psychological Services, LLC is located at 4222 Chestnut Lake Ave, Lithonia, GA 30038. 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 March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.