Provider Demographics
NPI:1013158211
Name:ELLIOTT, ERIN CHRISTINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:CHRISTINE
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:CHRISTINE
Other - Last Name:AHOLT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1670 CLAIRMONT RD
Mailing Address - Street 2:MAILCODE 116
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-4004
Mailing Address - Country:US
Mailing Address - Phone:404-321-6111
Mailing Address - Fax:404-329-4622
Practice Address - Street 1:1670 CLAIRMONT RD
Practice Address - Street 2:MAILCODE 116
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4004
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:404-329-4622
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling