| NPI | 1003689217 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | TRACY LANIER Clinical Director 312-536-4495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |