DORIAN ELLIS
NPI 1912522582
Counselor - Professional in Atlanta, GA

Q: What is Dorian Ellis's NPI number?

The NPI number for Dorian Ellis is 1912522582. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Q: What is Dorian Ellis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dorian Ellis was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 10, 2020

5470 LEMOYNE DR SW, ATLANTA, GA 30331(617) 331-6966 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dorian Ellis NPPES

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

DORIAN ELLIS (NPI 1912522582) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (007688) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1912522582

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDORIAN ELLIS

Location Address5470 LEMOYNE DR SWAtlanta, GA 30331-9206

Mailing Address3645 Marketplace Blvd Ste 130-171Atlanta, GA 30344-5747 · (470) 222-5354

Phone(617) 331-6966

Sole ProprietorYes

Enumeration DateJune 10, 2020

NPPES CertifiedJune 10, 2020

✔ NPI 1912522582 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 · 007688

5470 LEMOYNE DR SW, Atlanta, GA 30331

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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 Dorian Ellis's NPI number?

The NPI number for Dorian Ellis is 1912522582. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Dorian Ellis located?

Dorian Ellis practices at 5470 Lemoyne Dr SW, Atlanta, GA 30331. The listed phone number is (617) 331-6966.

What is Dorian Ellis'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 Dorian Ellis was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.