Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Pettis Ellis

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336982255

Nicole Pettis Ellis is an Addiction (Substance Use Disorder) Counselor in Woodstock, Georgia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

270 Heritage Walk
Woodstock, GA 30188-3875
Phone: (678) 494-5700
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1336982255
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2024
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

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