Mr. Carl Edward Ellis Jr.

Individual provider Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1376667105

Mr. Carl Edward Ellis Jr. is a Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Oglethorpe, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in: GA
In the registry since: 2007

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

700 City Hall Dr
Fort Oglethorpe, GA 30742-7802
Phone: (706) 861-3387
Fax: (706) 861-3332

Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary)	Taxonomy 261QM0801X · Licence RPH009402 (GA)

Record details

NPI number	1376667105
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	March 19, 2007
Last updated in NPPES	July 8, 2007