| NPI | 1003522723 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | ADAM BOOTH Owner 904-704-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-28 |