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General NPI Number Information
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NPI Number | 1548128028
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Entity Type | Organization
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Legal Business Name | MARGARET GIBSON ELLISON, LPC LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1775 PARKER RD BLDG C STE 210
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City | CONYERS
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State | GA
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Zip | 30094-6654
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Country | US
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Telephone | 404-419-6546
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Fax | 404-419-6546
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Provider Business Mailing Address
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Address Line | 1775 PARKER RD BLDG C STE 210
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City | CONYERS
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State | GA
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Zip | 30094-6654
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Country | US
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Telephone | 404-419-6546
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Fax | 404-419-6546
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Authorized Official
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Title or Position | OWNER CLINICAL DIRECTOR
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Name | MARGARET GIBSON ELLISON
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Credential | EDS LPC MAC CSAT
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Telephone | 404-419-6546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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