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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: July 19, 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

What is ELISE PSYCHOLOGICAL SERVICES, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1669898987, enumerated as an "organization" on March 11, 2014.

Where is the provider located?

The provider is located at 4222 CHESTNUT LAKE AVE LITHONIA, GA 30038 and the phone number is (770) 434-4448.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.

What insurance does ELISE PSYCHOLOGICAL SERVICES, LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.