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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS SHERENDA LASHAWN ELLIS

Active Sole Proprietor

MISS SHERENDA LASHAWN ELLIS is a 171WV0202X healthcare provider located in LITHONIA, Georgia. NPI 1821603606 is currently active in the NPPES registry. Verify at CMS.

171WV0202X · LITHONIA, GA

Registration Details

NPI Number
1821603606
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2020 (5.946510943684 yrs)
Last Updated
Jul 27, 2025
License
9Y6C9J8J7 (GA)
Sole Proprietor
Yes

Practice Information

Address
1859 PETITE LANE
LITHONIA, GA, 30058
Browse GA providers · Browse ZIP 30058
Phone
4044213809
Primary Specialty
171WV0202X
171WV0202X
Additional Specialty
Hypnotherapist
Additional Specialty
Phlebotomy Technician
Additional Specialty
171WV0202X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.