ELLEN PAIGE MONTGOMERY LLC NPI 1871828509

NPI Information

NPI: 1871828509
Provider Name: ELLEN PAIGE MONTGOMERY, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1807 OVER LAKE DR SE
SUITE C
CONYERS, GA
ZIP 30013
Phone: (678) 413-3833
Get Directions

ELLEN PAIGE MONTGOMERY, LLC is a professional counselor in Conyers, GA. ELLEN PAIGE MONTGOMERY, LLC NPI is 1871828509. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1807 OVER LAKE DR SE
SUITE C
CONYERS, GA
ZIP 30013-777
Phone: (678) 413-3833
Fax: (770) 385-1832

The provider's authorized official is Ellen Paige Montgomery .
The authorized official title is Owner and has the following contact phone number (678) 413-3833.

The enumeration date for this NPI number is 10/14/2009 and was last updated on 10/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	4154	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200566262A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »