P Praxis·MD
● Active Type 1 · Individual

MS. Angela Leslie Ellis, LPC

Counselor·Tucker, GA· NPI 1306070958 · Enumerated 2009 · 17 years on NPI
Ellis is 1 of 77 counselor providers in Tucker and 1 of 7547 in Georgia.
NPI age
17 years
Enumerated 2009-05-12
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-05-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
17 years
↑ 8 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-05Enumerated in NPPES
2009 2026

Where they practice

Practice location
100 Crescent Center Pkwy, Suite 1290
Tucker, GA 300847060
📞 7706210479fax 7706210466
Mailing address
2561 Rainover Ct
Decatur, GA 300342264
📞 4042883759

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC005488 taxonomy 101YP2500X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 5 new counselor providers have been added in Tucker in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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