Ellen Paige Montgomery | Conyers, GA • PECOS Search

Ellen Paige Montgomery

Counselor

Behavioral Health & Social Service Providers

1807 Overlake Drive, Suite E, Conyers, GA 30013-1766

PECOS Enrollment

Based on the most recent information from CMS, provider Ellen Paige Montgomery does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1326156720
Provider Type
Individual
Full Name
Montgomery, Ellen Paige
Title
Mrs.
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
8/26/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1807 Overlake Drive, Suite E, Conyers, GA 30013-1766

(770) 385-1832

Mailing Location

1807 Overlake Drive, Suite E, Conyers, GA 30013-1766

(770) 385-1832

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License LPC004154 Georgia